Marianne Haworth, M.T.

Individual provider Active NPI Massage Therapist · La Conner, WA

NPI 1023137635 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1023137635
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA00021305 (WA)
Practice address
215 Swinomish Dr
La Conner, WA 98257-9628
Phone
(360) 420-9083
Fax
(360) 466-1380
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MA00021305WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00021305 WA Yes

Addresses

Primary practice location

215 Swinomish Dr
La Conner, WA 98257-9628

Mailing address

215 Swinomish Dr
La Conner, WA 98257-9628
Phone (360) 420-9083

Other providers in La Conner, WA

All providers in La Conner, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.