Mrs Joleen Michelle Bacon, LMP - Massage Therapist in Lynnwood, WA

Mrs Joleen Michelle Bacon, LMP is a Massage Therapist based in Lynnwood, Washington. Mrs Joleen Michelle Bacon is licensed to practice in Washington (license number MA00011700) and her current practice location is 4620 200th St Sw, Suite C, Lynnwood, Washington. She can be reached at her office (for appointments etc.) via phone at (425) 697-5144.

NPI number for Mrs Joleen Michelle Bacon is 1174678098 and her current mailing address is 4620 200th St Sw, Suite C, Lynnwood, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174678098.

Contact Information

Mrs Joleen Michelle Bacon, LMP
4620 200th St Sw, Suite C,
Lynnwood, WA 98036-6607
(425) 697-5144
(425) 778-0824

Map and Direction




Healthcare Provider's Profile

Full NameMrs Joleen Michelle Bacon
GenderFemale
SpecialityMassage Therapist
Location4620 200th St Sw, Lynnwood, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174678098
  • Provider Enumeration Date: 01/23/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Joleen Michelle Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174678098NPI-NPPES
146955OtherWALABOR AND INDUSTRIES
8405BAOtherWAREGENCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist MA00011700 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Joleen Michelle Bacon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Joleen Michelle Bacon, LMP
4620 200th St Sw, Suite C,
Lynnwood, WA 98036-6607

Ph: (425) 697-5144
Mrs Joleen Michelle Bacon, LMP
4620 200th St Sw, Suite C,
Lynnwood, WA 98036-6607

Ph: (425) 697-5144

Reviews and Comments


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