MEDICARE: MS. MARLO C MUHAMMAD LMT

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	MASS.MA70000706	WA

General Provider Information

NPI Number	:	1255281853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARLO C MUHAMMAD LMT

Provider Business Mailing Address
First Line	:	4001 S PINE ST UNIT 110962
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98411-0139
Country	:	US
Telephone Number	:	253-754-0992
Fax Number	:

Provider Business Practice Location Address
First Line	:	5424 S PUGET SOUND AVE UNIT 18
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98409-4311
Country	:	US
Telephone Number	:	253-754-0992
Fax Number	:

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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