Denise Kay Anderson-Pohlman, LMP

Individual provider Active NPI Massage Therapist · Enumclaw, WA

NPI 1497971105 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497971105
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA00014161 (WA)
Practice address
860 Cole St
Enumclaw, WA 98022-2549
Phone
(253) 569-1039
Fax
(360) 825-7506
NPI assigned
Apr 18, 2007
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

LicenseStateTypeSpecialty
MA00014161WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00014161 WA Yes

Addresses

Primary practice location

860 Cole St
Enumclaw, WA 98022-2549

Mailing address

860 Cole St
Enumclaw, WA 98022-2549
Phone (253) 569-1039

Other providers in Enumclaw, WA

All providers in Enumclaw, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.