Theresa J Gallagher, LMP
Individual provider Active NPI Massage Therapist · Buckley, WA
NPI 1295992964 · NPPES record last updated May 20, 2008
Key facts
- NPI
- 1295992964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA00018959 (WA)
- Practice address
- 28719 Hwy 410 E
Suite 150
Buckley, WA 98321-8799 - Phone
- (360) 829-2200
- NPI assigned
- May 20, 2008
- 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 |
|---|---|---|---|
| MA00018959 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00018959 | WA | Yes |
Addresses
Primary practice location
28719 Hwy 410 E
Suite 150
Buckley, WA 98321-8799
Mailing address
PO Box 2203
Buckley, WA 98321-2203
Phone (253) 797-1601
Other providers in Buckley, WA
- Joanne Elizabeth Earle
- Christina Entrop
- Polly Frances Fields
- Courtney C Forthuber
- Blake Benjamin Galaviz
- Genesis Medical Transportation, LLC
- Yvonne Glass-Singer
- Marianne G Goble
- Kari N Hanson
- Hope Elizabeth Healey
All providers in Buckley, 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 May 20, 2008. 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.