Michelle R Agliano, LMP
Individual provider Active NPI Massage Therapist · Soap Lake, WA
NPI 1235201310 · NPPES record last updated Feb 5, 2024
Key facts
- NPI
- 1235201310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 00003605 (WA)
- Practice address
- 37 Hemlock St N # 683
Soap Lake, WA 98851-9108 - Phone
- (509) 594-0807
- NPI assigned
- Nov 14, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00003605 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 00003605 | WA | Yes |
Addresses
Primary practice location
37 Hemlock St N # 683
Soap Lake, WA 98851-9108
Mailing address
PO Box 683
Soap Lake, WA 98851-0683
Phone (509) 594-0807
Other providers in Soap Lake, WA
All providers in Soap Lake, 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 Feb 5, 2024. 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.