MEDICARE: JACOB STEWART STEELE 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	61479867	WA

General Provider Information

NPI Number	:	1649137977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB STEWART STEELE LMT

Provider Business Mailing Address
First Line	:	640 W MAIN ST
Second Line	:
City	:	MONROE
State	:	WA
Zip	:	98272-2102
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	640 W MAIN ST
Second Line	:
City	:	MONROE
State	:	WA
Zip	:	98272-2102
Country	:	US
Telephone Number	:	425-999-5694
Fax Number	:	425-999-5694

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

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “ JACOB STEWART STEELE LMT” Practice Location

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