Lijah S Doolin

Individual provider Active NPI Massage Therapist · Chelan, WA

NPI 1629370424 · NPPES record last updated Nov 30, 2010

Key facts

NPI
1629370424
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA60190557 (WA)
Practice address
126 East Johnson Ave
Chelan, WA 98816
Phone
(509) 860-4836
NPI assigned
Nov 30, 2010
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
MA60190557WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60190557 WA Yes

Addresses

Primary practice location

126 East Johnson Ave
Chelan, WA 98816

Mailing address

1545 Westwood Ave
Wenatchee, WA 98801-1681
Phone (509) 494-2007

Other providers in Chelan, WA

All providers in Chelan, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.