SearchWashingtonMechanotherapist

Jaclyn Southard, LMT

NPI 1497936546 · on the registry since 2007

Practice

Address
4520 Intelco Loop Se Bldg 3
Lacey, WA 98503
Phone
(360) 388-0485
Fax
(360) 890-4066
Organisation at this address
Basiliere & Crockett
Massage Restoration Llc
Nearing Total Health, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
Mechanotherapist
172M00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington