Jebediah Sides, LMT

NPI 1619738804 · on the registry since 2024 · sole proprietor

Practice

Address: 14010 Ne 3rd Ct Bldg B
Vancouver, WA 98685
Phone: (360) 949-0133
Fax: (360) 768-5110
Organisation at this address: Ranger Disiabled Injury Massage Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

11500 Ne 119th St Ste 104, Vancouver, WA

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-12-18

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