JEBEDIAH SIDES, LMT

Massage Therapist

Active Individual
NPI: 1619738804

Practice Address

14010 NE 3RD CT BLDG B
Vancouver, WA 98685

Phone: (360) 949-0133

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes 61512969 (WA)

Frequently Asked Questions

NPI 1619738804 is the National Provider Identifier for JEBEDIAH SIDES, LMT, a Massage Therapist provider located in Vancouver, WA. This NPI was enumerated on January 16, 2024.
JEBEDIAH SIDES, LMT practices at 14010 NE 3RD CT BLDG B, Vancouver, WA 98685.

Quick Facts

NPI
1619738804
Type
Individual
Enumerated
Jan 16, 2024
Last Updated
Dec 18, 2024

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