Steven Allen Adler, LMP
Individual provider Active NPI Massage Therapist · Quincy, WA
NPI 1104987189 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104987189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA21126 (WA)
- Practice address
- 723 Central Ave SW
Quincy, WA 98848 - Phone
- (509) 787-1438
- Fax
- (509) 787-1438
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA21126 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA21126 | WA | Yes |
Addresses
Primary practice location
723 Central Ave SW
Quincy, WA 98848
Mailing address
PO Box 1879
723 Central Ave SW
Quincy, WA 98848
Phone (509) 787-1438
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA21126 | Other | WA | DEPT OF HEALTH |
| 0198323 | Other | WA | DEPT OF LABOR & INDUS |
Other providers in Quincy, WA
- Ernie Lee Atkins
- Gina Realme Avalos
- Bates Counseling Services
- Robert Eugene Bates
- John Thomas Bearup
All providers in Quincy, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.