Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA60018977 | WA |
NPI | 1013145069 |
---|---|
Provider Name | Ms. Stephanie Reimann |
First Address | Seattle, WA 98118-1312 |
Second Address | Seattle, WA 98118-1312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2009 |
Last Update Date | 29/06/2009 |