Deborah L Byrd, LMP
Individual provider Active NPI Specialist · Winlock, WA
NPI 1497920565 · NPPES record last updated Apr 29, 2008
Key facts
- NPI
- 1497920565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- MA00021089 (WA)
- Practice address
- 568A Cemetary Rd
Winlock, WA 98596-9365 - Phone
- (360) 880-8580
- Fax
- (360) 785-3665
- NPI assigned
- Apr 29, 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 |
|---|---|---|---|
| MA00021089 | WA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | |||
| Specialist | 174400000X | MA00021089 | WA | Yes |
Addresses
Primary practice location
568A Cemetary Rd
Winlock, WA 98596-9365
Mailing address
568A Cemetary Rd
Winlock, WA 98596-9365
Phone (360) 880-8580
Other providers in Winlock, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 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.