Faith Fischer-Whaley, LMP

Individual provider Active NPI Massage Therapist · Winlock, WA

NPI 1144767989 · NPPES record last updated Jan 31, 2017

Key facts

NPI
1144767989
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA 60684774 (WA)
Practice address
114 Topaz CT
Winlock, WA 98596-9119
Phone
(303) 807-2668
NPI assigned
Jan 31, 2017
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

State licenses

LicenseStateTypeSpecialty
MA 60684774WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 60684774 WA Yes

Addresses

Primary practice location

114 Topaz CT
Winlock, WA 98596-9119

Mailing address

114 Topaz CT
Winlock, WA 98596-9119
Phone (303) 807-2668

Other providers in Winlock, WA

All providers in Winlock, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.