Adrienne M Martin, LMP
Individual provider Active NPI Massage Therapist · Rox, WA
NPI 1609933092 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609933092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA00015464 (WA)
- Practice address
- 9111 346 St S
Suite 3
Rox, WA 98580 - Phone
- (360) 400-2002
- Fax
- (360) 400-2004
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| MA00015464 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKenna Chiropractic Center PS | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00015464 | WA | Yes |
Addresses
Primary practice location
9111 346 St S
Suite 3
Rox, WA 98580
Mailing address
PO Box 1370
McKenna, WA 98558-1370
Phone (360) 400-2002
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.