MEDICARE: ESTHER EDWARDS

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

General Provider Information

NPI Number	:	1952878589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER EDWARDS

Provider Business Mailing Address
First Line	:	2210 87TH AVE SE
Second Line	:
City	:	LAKE STEVENS
State	:	WA
Zip	:	98258-4715
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10519 20TH ST SE
Second Line	:
City	:	LAKE STEVENS
State	:	WA
Zip	:	98258-4768
Country	:	US
Telephone Number	:	425-397-4900
Fax Number	:

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

Provider Enumeration Date	:	11/01/2018
Last Update Date	:	11/01/2018

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Directions to “ ESTHER EDWARDS ” Practice Location

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