Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA60124192 | WA |
NPI | 1013245810 |
---|---|
Provider Name | Mrs. Rachael Beth Saylors |
First Address | Burien, WA 98166-2212 |
Second Address | Burien, WA 98166-2212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2009 |
Last Update Date | 07/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MA60124192 | WA STATE DEPT. OF HEALTH (01) | WA |