Eudora M Adams, LMP
Individual provider Active NPI Massage Therapist · Puyallup, WA
NPI 1649599762 · NPPES record last updated Jul 30, 2014
Key facts
- NPI
- 1649599762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA60152831 (WA)
- Practice address
- 12007 149TH St E
Puyallup, WA 98374-3446 - Phone
- (206) 799-2085
- NPI assigned
- May 28, 2010
- 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 |
|---|---|---|---|
| MA60152831 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60152831 | WA | Yes |
Addresses
Primary practice location
12007 149TH St E
Puyallup, WA 98374-3446
Mailing address
12007 149TH St E
Puyallup, WA 98374-3446
Phone (206) 799-2085
Other names
- Eudora M Ballou
Other providers in Puyallup, WA
- Karen Beth Acheson
- Achieving Balance Counseling LLC
- Yesenia Acuna Miramontes
- Eric Jeffrey Acuna
- Emily Lora Adams
- Lisa Marie Adams
- Courtney Elizabeth Burkhart Addabbo
- Nicolas Kalani Addison
- Shari Addleman
- Adeline Physical Therapy PLLC
All providers in Puyallup, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2014. 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.