Desiree Elise Ervin
Massage Therapist
17711 E Cowley Ave
Spokane Valley
, Washington 99016-9388
Desiree Elise Ervin
Massage Therapist
17711 E Cowley Ave
Spokane Valley
, Washington 99016-9388
(509) 720-0084
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Desiree Elise Ervin
- 17711 E Cowley Ave
- Spokane Valley, WA
- Zip : 99016-9388
- Phone : (509) 720-0084
Second Address
- Desiree Elise Ervin
- 17711 E Cowley Ave
- Spokane Valley, WA
- Zip : 99016-9388
- Phone : (509) 720-0084
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 60529185 | WA |
National Provider Identifier
| NPI | 1013309855 |
|---|---|
| Provider Name | Desiree Elise Ervin |
| First Address | Spokane Valley, WA 99016-9388 |
| Second Address | Spokane Valley, WA 99016-9388 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/03/2015 |
| Last Update Date | 03/03/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.