| Mrs Jessica D Sundahl, LMP | |
|
4111 S Meridian, Suite 208, Puyallup, WA 98373-5973 | |
| (253) 905-5214 | |
| (253) 503-6146 |
| Full Name | Mrs Jessica D Sundahl |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 4111 S Meridian, Puyallup, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730238528 | NPI | - | NPPES |
| 0158989 | Other | WA | LABOR AND INDUSTRIES |
| 6021925760010001 | Other | WA | UBI BUSINESS |
| MA00016460 | Other | WA | LICENSE FOR MASSAGE |
| 4342TI | Other | WA | REGENCECARE ID NUMBER |
| 254423100000 | Other | WA | PREMERA PROVIDER NUMBER |
| 0007827360 | Other | WA | AETNA PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA00016460 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica D Sundahl, LMP 4815 97th St E, Tacoma, WA 98446-5428 Ph: (253) 905-5214 | Mrs Jessica D Sundahl, LMP 4111 S Meridian, Suite 208, Puyallup, WA 98373-5973 Ph: (253) 905-5214 |
Tranecia Celestine, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 11216 Sunrise Blvd E, Puyallup, WA 98374 Phone: 253-604-0505 | |
Kimberly Lynn Mowery-reams, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 13333 Meridian E Ste H, Puyallup, WA 98373 Phone: 253-200-4401 Fax: 253-200-4402 | |
Dominique Devine, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 5th St Se Ste 4400, Puyallup, WA 98372 Phone: 253-881-1362 Fax: 253-881-1368 | |
Seth Thomas Englebert, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 E Pioneer Ste 109, Puyallup, WA 98372 Phone: 253-845-0543 | |
Heidi Nader, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 17528 Meridian E, Ste 209, Puyallup, WA 98375 Phone: 253-445-8530 | |
Tracy Pina, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 16909 123rd Ave E, Puyallup, WA 98374 Phone: 253-267-3390 | |
Mrs. Jovante Auli I Lani O Ka Mik Guerra, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 12815 Canyon Rd E, Suite O, Puyallup, WA 98373 Phone: 253-249-9325 Fax: 253-875-9468 |