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Clyde Mcdade, LMT
NPI 1982680815 · on the registry since 2005
Practice
- Address
- 11008 Gravelly Lake Dr Sw
Lakewood, WA 98499 - Phone
- (360) 763-9439
- Fax
- (360) 767-3087
- Organisation at this address
- Phoenix Rising Wellness Center
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-10
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