Jacquelyne Brazell, LMP
Individual provider Active NPI Massage Therapist · Kennewick, WA
NPI 1245503267 · NPPES record last updated Feb 22, 2012
Key facts
- NPI
- 1245503267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA60270020 (WA)
- Practice address
- 8033 W Grandridge Blvd
Ste C
Kennewick, WA 99336-7159 - Phone
- (509) 783-1899
- Fax
- (509) 783-1898
- NPI assigned
- Feb 22, 2012
- 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 |
|---|---|---|---|
| MA60270020 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60270020 | WA | Yes |
Addresses
Primary practice location
8033 W Grandridge Blvd
Ste C
Kennewick, WA 99336-7159
Mailing address
8033 W Grandridge Blvd
Ste C
Kennewick, WA 99336-7159
Phone (509) 783-1899
Other providers in Kennewick, WA
- Ame Brasher
- Donna Braswell
- Amanda M Braun
- Elizabeth Martinez Braun
- Elizabeth Marie Bravo
- Break Free Counseling, LLC
- Susan J Brendel
- Robert Steven Brennan Jr.
- James Brewer
- Leslae Anne Brewer
All providers in Kennewick, 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 22, 2012. 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.