MEDICARE: SARAH PRYOR 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	28513	OR
2	225700000X	Massage Therapist	61678532	WA

General Provider Information

NPI Number	:	1427997279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH PRYOR LMT

Provider Business Mailing Address
First Line	:	4125 S SETTLER DR # E41
Second Line	:
City	:	RIDGEFIELD
State	:	WA
Zip	:	98642-5492
Country	:	US
Telephone Number	:	360-762-4806
Fax Number	:

Provider Business Practice Location Address
First Line	:	1105 15TH AVE STE F
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-3080
Country	:	US
Telephone Number	:	360-762-4806
Fax Number	:

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

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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Directions to “ SARAH PRYOR LMT” Practice Location

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