Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jebediah I Sides, LMT

Individual provider Massage Therapist · NPI 1619738804

Jebediah I Sides, LMT is a Massage Therapist in Vancouver, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

14010 NE 3rd Ct Bldg B
Vancouver, WA 98685-2928
Phone: (360) 949-0133
Fax: (360) 768-5110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11500 Ne 119th St Ste 104, Vancouver, WA 98662-1643 — (360) 326-3396

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 61512969 (WA)

Record details

NPI number1619738804
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedJanuary 16, 2024
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing address4414 Ne 115th St, Vancouver, WA 98686-4479

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