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Brian James Petrich

Massage Therapist

1963 Bethel Rd Se
Port Orchard , Washington 98366-3108

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Brian James Petrich

Massage Therapist

1963 Bethel Rd Se
Port Orchard , Washington 98366-3108

(253) 861-5297

Write a Review Save Call

Brian James Petrich

Massage Therapist

1963 Bethel Rd Se
Port Orchard , Washington 98366-3108

(253) 861-5297 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Massage Therapist

Languages spoken

  • English

Location

1963 Bethel Rd Se Port Orchard , Washington 98366-3108

First Address

  • Brian James Petrich
  • 15769 Sunny Cove Dr Se
  • Olalla, WA
  • Zip : 98359-9594
  • Phone : (253) 861-5297

Second Address

  • Brian James Petrich
  • 1963 Bethel Rd Se
  • Port Orchard, WA
  • Zip : 98366-3108
  • Phone : (253) 861-5297

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FAQs


Where did Brian James Petrich attend graduate school?

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Where did Brian James Petrich do his residency?

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Where did Brian James Petrich do his fellowship?

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Is Brian James Petrich board certified?

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What type of doctor is Brian James Petrich

Massage Therapist

In what state does Brian James Petrich practice in?

Washington

Where is Brian James Petrich ’s practice located?

1963 Bethel Rd Se , Port Orchard, Washington, 98366-3108

What is Brian James Petrich ’s gender?

Male

Is Brian James Petrich a sole practitioner?

No

Is Brian James Petrich accepting new patients?

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What languages does Brian James Petrich speak?

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Does Brian James Petrich accept insurance?

Yes, Brian James Petrich accepts insurance

Does Brian James Petrich offers telemedicine?

Brian James Petrich has not indicated if he offers telemedicine

What is Brian James Petrich ’s professional license number?

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What is Brian James Petrich ’s NPI number?

1003470154

Does Brian James Petrich have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 225700000X Massage Therapist MA60936482 WA

National Provider Identifier

NPI 1003470154
Provider Name Brian James Petrich
First Address Olalla, WA 98359-9594
Second Address Port Orchard, WA 98366-3108
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 24/04/2019
Last Update Date 24/04/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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