MEDICARE: HEATHER VARGAS-LYON

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
1	225700000X	Massage Therapist	MA60288759	WA

General Provider Information

NPI Number	:	1194129601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER VARGAS-LYON

Provider Business Mailing Address
First Line	:	8338 WOLCOTT AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-4752
Country	:	US
Telephone Number	:	206-327-3215
Fax Number	:

Provider Business Practice Location Address
First Line	:	8338 WOLCOTT AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118
Country	:	US
Telephone Number	:	206-327-3215
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2014
Last Update Date	:	10/13/2014

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Directions to “ HEATHER VARGAS-LYON ” Practice Location

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