Patricia Grace Brockwell
Massage Therapist
32015 1st Ave S
Federal Way
, Washington 98003-5701
Patricia Grace Brockwell
Massage Therapist
32015 1st Ave S
Federal Way
, Washington 98003-5701
(206) 753-8270
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Patricia Grace Brockwell
- 18118 96th Ave E
- Puyallup, WA
- Zip : 98375-6326
- Phone : (206) 753-8270
Second Address
- Patricia Grace Brockwell
- 32015 1st Ave S
- Federal Way, WA
- Zip : 98003-5701
- Phone : (253) 927-9382
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00023917 | WA |
National Provider Identifier
| NPI | 1003083411 |
|---|---|
| Provider Name | Patricia Grace Brockwell |
| First Address | Puyallup, WA 98375-6326 |
| Second Address | Federal Way, WA 98003-5701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2008 |
| Last Update Date | 14/05/2008 |
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.