MEDICARE: MRS. LAUREN FARRIER SCHNEIDER 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	61228308	WA

General Provider Information

NPI Number	:	1871208215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAUREN FARRIER SCHNEIDER LMT

Provider Business Mailing Address
First Line	:	301 W COLUMBIA WAY
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98660-3611
Country	:	US
Telephone Number	:	360-574-3366
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 W COLUMBIA WAY
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98660-3611
Country	:	US
Telephone Number	:	360-574-3366
Fax Number	:

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

Provider Enumeration Date	:	01/19/2023
Last Update Date	:	01/19/2023

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