Most Relevant Information
Provider Data
| NPI Number: | 1003637224 |
| Provider Name: | ELLIE ELIZABETH FERKINGSTAD LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA61597692 |
Most Important Dates
| Enumeration Date: | 10/21/2024 |
| Last Updated: | 10/21/2024 |
Provider Practice Location
17422 108TH AVE SE
RENTON
WA
980555400
Practice Location Phone/Fax
| Phone: | 4252550427 |
| Fax: | 4252551066 |
Provider Mailing Location
17422 108TH AVE SE
RENTON
WA
980555400
Provider Mailing Phone/Fax
| Phone: | 4252550427 |
| Fax: | 4252551066 |