Individual
EDWARD LYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5711 24TH AVE NW, #405, SEATTLE, WA 98107-3456
(203) 980-5083
Mailing address
5711 24TH AVE NW, # 405, SEATTLE, WA 98107-3456
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026235
NY
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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