Provider Demographics
NPI:1881348985
Name:ARNDT, MICHAEL B (LMT)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:B
Last Name:ARNDT
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 1:13304 KAPOWSIN HIGHLANDS DR E
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98338-9041
Mailing Address - Country:US
Mailing Address - Phone:253-348-8837
Mailing Address - Fax:
Practice Address - Street 1:1412 YELM AVE E STE C101
Practice Address - Street 2:
Practice Address - City:YELM
Practice Address - State:WA
Practice Address - Zip Code:98597-8328
Practice Address - Country:US
Practice Address - Phone:360-616-2201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAM60472969225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist