Adelyn Re'Ann Maletzke, LMT
Individual provider Active NPI Massage Therapist · Cle Elum, WA
NPI 1114738671 · NPPES record last updated Jan 15, 2025
Key facts
- NPI
- 1114738671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA61614248 (WA)
- Practice address
- 202 W 1St St
Cle Elum, WA 98922-1154 - Phone
- (509) 674-5057
- Fax
- (509) 674-6946
- NPI assigned
- Jan 15, 2025
- Sex
- Female
- 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 |
|---|---|---|---|
| MA61614248 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61614248 | WA | Yes |
Addresses
Primary practice location
202 W 1St St
Cle Elum, WA 98922-1154
Mailing address
830 Loping LN
Cle Elum, WA 98922-9531
Phone (509) 856-7371
Other providers in Cle Elum, WA
- Koinonia Christian Camp and Retreat Center
- Erin M Krekling
- Emily Kuta
- Brandy Lindeman
- Lorin Peterson DDS
- Carly A Mankus
- Elizabeth Winston Maurer
- Robert G Merkel
- Julie Rowe Montgomery
- Michael Anthony Moran
All providers in Cle Elum, 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 Jan 15, 2025. 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.