Audrey Inez Bellerud, LMP
Individual provider Active NPI Massage Therapist · Fircrest, WA
NPI 1326755000 · NPPES record last updated Nov 1, 2022
Key facts
- NPI
- 1326755000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA60314041 (WA)
- Practice address
- 6314 19TH St W Ste 11
Fircrest, WA 98466-6223 - Phone
- (253) 267-8188
- Fax
- (253) 267-8187
- NPI assigned
- Nov 1, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| MA60314041 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DT Smith Healthgroup PLLC | Current |
Accepting new patients | |
| PM Health Group PLLC | Current |
Accepting new patients |
Locations
6314 19th St W
Ste 11
Fircrest, WA 98466
Phone (253) 267-8188
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60314041 | WA | Yes |
Addresses
Primary practice location
6314 19TH St W Ste 11
Fircrest, WA 98466-6223
Mailing address
6314 19TH St W Ste 11
Fircrest, WA 98466-6223
Phone (253) 267-8188
Other providers in Fircrest, WA
- Tiffany Artime
- John Wesley Atkinson
- Austin D McMillin DC PS
- Angela Dawn Bachel
- Stephen David Beck
- Madeline Elise Berry
- Quasheba Bey
- Michael Bruce Bishop
- Bland Applied Kinesiology and Chiropractic Clinic PLLC
- Ryan Bland
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 Nov 1, 2022. 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.