Renate House, L.M.P.

Individual provider Active NPI Massage Therapist · Steilacoom, WA

NPI 1164845293 · NPPES record last updated Jan 24, 2014

Key facts

NPI
1164845293
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA00021924 (WA)
Practice address
1407 Beech Ave
Steilacoom, WA 98388-3817
Phone
(253) 310-6071
NPI assigned
Jan 24, 2014
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
MA00021924WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00021924 WA Yes

Addresses

Primary practice location

1407 Beech Ave
Steilacoom, WA 98388-3817

Mailing address

1407 Beech Ave
Steilacoom, WA 98388-3817
Phone (253) 310-6071

Other providers in Steilacoom, WA

All providers in Steilacoom, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.