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NPI Code Detail

MEDICARE: MOLLY SIMPSON LMP

MEDICARE: MOLLY SIMPSON 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 TherapistMA60243571WA

General Provider Information

NPI Number : 1306211602
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY SIMPSON LMP
Provider Business Mailing Address
First Line : 3933 STONE WAY N
Second Line :
City : SEATTLE
State : WA
Zip : 98103
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3933 STONE WAY N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-8017
Country : US
Telephone Number : 206-588-0014
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2015
Last Update Date : 12/11/2015

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Directions to “ MOLLY SIMPSON LMP” Practice Location

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