Individual provider Active NPI

Vallerie Lienhard, MA60406904

  • Mechanotherapist
  • Graham, WA
National Provider Identifier
1467873356
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA60406904 Issued in WA
Practice address
8208 243Rd Street CT E
Graham, WA 98338-7305
Phone
(785) 556-1270
NPI assigned
Dec 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA60406904 WA Primary

Addresses

Primary practice location

8208 243Rd Street CT E
Graham, WA 98338-7305

Mailing address

PO Box 1113
Graham, WA 98338-1113
Phone (785) 556-1270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA60406904WAMDMechanotherapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1467873356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1113",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983381113",
            "telephone_number": "785-556-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8208 243RD STREET CT E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983387305",
            "telephone_number": "785-556-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIENHARD",
        "first_name": "VALLERIE",
        "credential": "MA60406904",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA60406904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.