Miranda Blythe Lucker
Massage Therapist
5220 Parker Rd E
Sumner
, Washington 98390-2715
Miranda Blythe Lucker
Massage Therapist
5220 Parker Rd E
Sumner
, Washington 98390-2715
(206) 931-4782
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Miranda Blythe Lucker
- 5220 Parker Rd E
- Sumner, WA
- Zip : 98390-2715
- Phone : (206) 931-4782
Second Address
- Miranda Blythe Lucker
- 5220 Parker Rd E
- Sumner, WA
- Zip : 98390-2715
- Phone : (206) 931-4782
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In what state does Miranda Blythe Lucker practice in?
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Is Miranda Blythe Lucker a sole practitioner?
Is Miranda Blythe Lucker accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60255471 | WA |
National Provider Identifier
| NPI | 1013398163 |
|---|---|
| Provider Name | Miranda Blythe Lucker |
| First Address | Sumner, WA 98390-2715 |
| Second Address | Sumner, WA 98390-2715 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2015 |
| Last Update Date | 30/03/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.