Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982245791 Individual Practitioner Female Practitioner

Miranda Dedrick , LMT

Massage Therapist • Kent, WA

Professional Overview & Biography Verified Profile Summary

Miranda Dedrick, LMT is a registered healthcare professional specializing in Massage Therapist in Kent, WA. Practice services are available at 24612 104TH AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

24612 104th Ave Se

Kent, WA 980304965

Telephone 2535202529
Associated Practice Facility / Clinic
🏢 Kent Chiropractic Facility NPI 1336466630

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Kent, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
203 Specialists

Practicing in Kent, WA (13385 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA MA60667932

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dayna Hart

Chiropractor - Rehabilitation

NPI 1245757517
Rebekka Hulet , LMP

Chiropractor - Occupational Health

NPI 1316237258

Licensed Massage Practitioner

Trusila Truss

Massage Therapist

NPI 1801253786
Yelena Golub , MA60597652

Massage Therapist

NPI 1912378613
Grace Kim , LMP

Massage Therapist

NPI 1932556719

Licensed Massage Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 02, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2019

Registered at 24612 104TH AVE SE, KENT, WA 980304965 (Tel: 2535202529)

📍
Updated Business Mailing Address October 02, 2019

Registered at 1926 MCHUGH AVE, ENUMCLAW, WA 980223355 (Tel: 2534098550)

👤
Provider Name / Credentials Updated October 02, 2019

Recorded as MIRANDA DEDRICK, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2019

Massage Therapist (License #MA60667932 in WA)

🟢
Initial NPI Registration & Enumeration October 02, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982245791
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2019
Last Update: October 02, 2019
Sole Proprietor: No

Mailing Address

1926 Mchugh Ave

Enumclaw, WA 980223355

Phone: 2534098550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.