| Jennifer Nicole Farrelly, LMP | |
|
220 Pogue Ln, Castle Rock, WA 98611-9391 | |
| (360) 441-0917 | |
| Not Available |
| Full Name | Jennifer Nicole Farrelly |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 220 Pogue Ln, Castle Rock, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326376823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA60118681 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Nicole Farrelly, LMP 220 Pogue Ln, Castle Rock, WA 98611-9391 Ph: (360) 441-0917 | Jennifer Nicole Farrelly, LMP 220 Pogue Ln, Castle Rock, WA 98611-9391 Ph: (360) 441-0917 |
Leah Cooke, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Powell Rd, Castle Rock, WA 98611 Phone: 360-846-7475 | |
Crystal L Davis, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 139 1st Ave. Sw, Castle Rock, WA 98611 Phone: 360-274-2353 Fax: 360-274-2354 |