MEDICARE: MARY JOSEPHINE MARGESON

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	MA 60109711	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821401910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY JOSEPHINE MARGESON

Provider Business Mailing Address
First Line	:	223 140TH ST S
Second Line	:	STE 700
City	:	TACOMA
State	:	WA
Zip	:	98444-4531
Country	:	US
Telephone Number	:	253-531-5645
Fax Number	:	253-536-3467

Provider Business Practice Location Address
First Line	:	223 140TH ST S
Second Line	:	STE 700
City	:	TACOMA
State	:	WA
Zip	:	98444-4531
Country	:	US
Telephone Number	:	253-531-5645
Fax Number	:	253-536-3467

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

Provider Enumeration Date	:	06/05/2014
Last Update Date	:	07/20/2017

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