Adriana Haberlach, LMP
Individual provider Active NPI Massage Therapist · Fircrest, WA
NPI 1326328394 · NPPES record last updated Aug 23, 2011
Key facts
- NPI
- 1326328394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA60197035 (WA)
- Practice address
- 2079 Mildred St W
Fircrest, WA 98466-6133 - Phone
- (253) 778-0980
- NPI assigned
- Aug 23, 2011
- 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 |
|---|---|---|---|
| MA60197035 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60197035 | WA | Yes |
Addresses
Primary practice location
2079 Mildred St W
Fircrest, WA 98466-6133
Mailing address
9220 Tacoma Ave S
Tacoma, WA 98444-6140
Phone (253) 778-0980
Other providers in Fircrest, WA
- James Patrick Gagliardi
- Spencer David Garlick
- Grit City Chiropractic, PLLC
- Benjamin Randolph Grover
- Kimberley Louise Gruening McNickle
- Nevin Michael Hair
- Ryan Hannig
- Erick Albert Hartman
- John Michael Hautala
- Deborah L Hickey
All providers in Fircrest, 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 Aug 23, 2011. 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.