Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA00011045 | WA |
NPI | 1013130095 |
---|---|
Provider Name | Ms. Jeanette Bauer |
First Address | Seattle, WA 98103-7853 |
Second Address | Seattle, WA 98103-7853 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 14/02/2017 |