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

Mr. Theodore Basil Jerdes, LMP

Individual provider Specialist · NPI 1992251201

Mr. Theodore Basil Jerdes, LMP is a Specialist in Lacey, Washington. Licensed in Washington. Registered with an NPI since 2016.

Licensed in
WA
In the registry since
2016
What do these letters mean?
LMP — Licensed Massage Practitioner
A state-licensed massage practitioner.

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Practice location Address checks out

1210 Sleater Kinney Rd SE
Lacey, WA 98503-2316
Phone: (360) 352-4511
Fax: (360) 754-4703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA 60597586 (WA)

Record details

NPI number1992251201
Entity typeIndividual (Type 1)
GenderMale
Credentials LMP
Sole proprietorNo
NPI enumeratedAugust 27, 2016
Last updated in NPPESAugust 27, 2016
Mailing address1210 Sleater Kinney Rd Se, Lacey, WA 98503-2316

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