NPI 1104169689

Mary Beth McDade, LMT

Practitioner Massage Therapist Madison, WI

Practice location

Address: 2007 Atwood Ave, Madison, WI 53704-5324
Phone: (608) 282-5584
Mailing address: 2065 Winnebago St #2, Madison, WI 53704-5316

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 4221-146 (WI)

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Registry record

NPI: 1104169689
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2013
Record last updated: 2 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.