Mr Jahja Djajaputra, LMT | |
9633 Market Pl Unit 103, Lake Stevens, WA 98258-7944 | |
(425) 335-0300 | |
(425) 335-0302 |
Full Name | Mr Jahja Djajaputra |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 9633 Market Pl Unit 103, Lake Stevens, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649877481 | NPI | - | NPPES |
MA61098412 | Other | WA | LMT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MA61098412 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Jahja Djajaputra, LMT 11030 Evergreen Way Apt E123, Everett, WA 98204-6655 Ph: (206) 412-6179 | Mr Jahja Djajaputra, LMT 9633 Market Pl Unit 103, Lake Stevens, WA 98258-7944 Ph: (425) 335-0300 |
Sara Jeanette Ernst, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 95th Dr Ne Ste 105, Lake Stevens, WA 98258 Phone: 425-334-9137 | |
Vanessa R Tyler, L.M.P. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 9433 4th St Ne, Suit 104, Lake Stevens, WA 98258 Phone: 425-923-6068 | |
William Cisco Ford, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 95th Dr Ne Ste 105, Lake Stevens, WA 98258 Phone: 425-334-9137 Fax: 425-377-9487 | |
Patricia L Burgess, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 9623 32nd St Se, Lake Stevens, WA 98258 Phone: 425-330-2148 | |
Mrs. Ashley Nicole Sherman, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 9623 32nd St Se Bldg D Ste 115, Lake Stevens, WA 98258 Phone: 425-446-0972 Fax: 425-252-9714 | |
Nancy Farmer, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2721 Cedar Rd, Lake Stevens, WA 98258 Phone: 425-330-1639 | |
Mrs. Suthida Belan, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 9633 Market Pl Unit 103, Lake Stevens, WA 98258 Phone: 425-335-0300 Fax: 425-335-0302 |