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NPI Code Detail

MEDICARE: JULIA E. MEAKER LMP

MEDICARE: JULIA E. MEAKER 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 TherapistMA60093895WA

General Provider Information

NPI Number : 1447482534
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA E. MEAKER LMP
Provider Business Mailing Address
First Line : 20410 OCONNOR RD SE
Second Line :
City : CENTRALIA
State : WA
Zip : 98531-9547
Country : US
Telephone Number : 360-324-2861
Fax Number :
Provider Business Practice Location Address
First Line : 1126 S GOLD ST
Second Line : SUITE 224
City : CENTRALIA
State : WA
Zip : 98531-3768
Country : US
Telephone Number : 360-324-2861
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2009
Last Update Date : 08/05/2016

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Directions to “ JULIA E. MEAKER LMP” Practice Location

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