Rebecca Sue Chamberlain, LMP

Individual provider Active NPI Massage Therapist · Laconner, WA

NPI 1134344930 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1134344930
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA00009358 (WA)
Practice address
413 Morris
Suite B
Laconner, WA 98257-0076
Phone
(360) 466-1380
Fax
(360) 466-1380
NPI assigned
Apr 16, 2007
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

LicenseStateTypeSpecialty
MA00009358WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00009358 WA Yes

Addresses

Primary practice location

413 Morris
Suite B
Laconner, WA 98257-0076

Mailing address

PO Box 76
Laconner, WA 98257-0076
Phone (360) 466-1380

Other providers in Laconner, WA

All providers in Laconner, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.