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NPI Code Detail

MEDICARE: MS. RACHEL HIDEKO YAMAGIWA LMP

MEDICARE:  MS. RACHEL HIDEKO YAMAGIWA  LMP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist11161WA

General Provider Information

NPI Number : 1134134737
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RACHEL HIDEKO YAMAGIWA LMP
Provider Business Mailing Address
First Line : 4511 DENSMORE AVE N
Second Line : STE F
City : SEATTLE
State : WA
Zip : 98103
Country : US
Telephone Number : 206-545-3887
Fax Number :
Provider Business Practice Location Address
First Line : 4511 DENSMORE AVE N
Second Line : STE F
City : SEATTLE
State : WA
Zip : 98103
Country : US
Telephone Number : 206-545-3887
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 07/08/2007

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Directions to “ MS. RACHEL HIDEKO YAMAGIWA LMP” Practice Location

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