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NPI Code Detail

MEDICARE: MR. ANTHONY MICHAELS LMP

MEDICARE: MR. ANTHONY MICHAELS 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 TherapistMA00016471WA

General Provider Information

NPI Number : 1922178110
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTHONY MICHAELS LMP
Provider Business Mailing Address
First Line : 14331 PHINNEY AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98133-6848
Country : US
Telephone Number : 206-303-7693
Fax Number :
Provider Business Practice Location Address
First Line : 1666 E OLIVE WAY
Second Line :
City : SEATTLE
State : WA
Zip : 98102-5627
Country : US
Telephone Number : 206-323-1666
Fax Number : 206-323-6639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/08/2007

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Directions to “ MR. ANTHONY MICHAELS LMP” Practice Location

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