Amber Corey, LMP

Individual provider Active NPI Massage Therapist · Stevenson, WA

NPI 1487057543 · NPPES record last updated Oct 3, 2014

Key facts

NPI
1487057543
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA00024433 (WA)
Practice address
40 SW Cascade Ave
Unit D
Stevenson, WA 98648-6284
Phone
(360) 865-9706
NPI assigned
Oct 3, 2014
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

LicenseStateTypeSpecialty
MA00024433WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00024433 WA Yes

Addresses

Primary practice location

40 SW Cascade Ave
Unit D
Stevenson, WA 98648-6284

Mailing address

40 SW Cascade Ave
Unit D
Stevenson, WA 98648-6284
Phone (360) 865-9706

Other providers in Stevenson, WA

All providers in Stevenson, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.