Provider Demographics
NPI:1114612678
Name:MACFARLANE, JOSHUA (LMT)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:MACFARLANE
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19325 140TH PL SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-9449
Mailing Address - Country:US
Mailing Address - Phone:206-486-5772
Mailing Address - Fax:
Practice Address - Street 1:4409 50TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1427
Practice Address - Country:US
Practice Address - Phone:206-486-5772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist