MEDICARE: MICHAEL B ARNDT 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	M60472969	WA

General Provider Information

NPI Number	:	1881348985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL B ARNDT LMT

Provider Business Mailing Address
First Line	:	13304 KAPOWSIN HIGHLANDS DR E
Second Line	:
City	:	GRAHAM
State	:	WA
Zip	:	98338-9041
Country	:	US
Telephone Number	:	253-348-8837
Fax Number	:

Provider Business Practice Location Address
First Line	:	1412 YELM AVE E STE C101
Second Line	:
City	:	YELM
State	:	WA
Zip	:	98597-8328
Country	:	US
Telephone Number	:	360-616-2201
Fax Number	:

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

Provider Enumeration Date	:	02/08/2022
Last Update Date	:	02/08/2022

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