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NPI Code Detail

MEDICARE: ALICEA GARRETT LMT

MEDICARE: ALICEA GARRETT 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
1225700000XMassage TherapistMA00022901WA

General Provider Information

NPI Number : 1336337815
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICEA GARRETT LMT
Provider Business Mailing Address
First Line : 1422 31ST AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98144-3910
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1422 31ST AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98144-3910
Country : US
Telephone Number : 206-322-1770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2007
Last Update Date : 10/09/2007

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Directions to “ ALICEA GARRETT LMT” Practice Location

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