Elizabeth Athair, LMMP
Individual provider Active NPI Massage Therapist · Port Angeles, WA
NPI 1669645164 · NPPES record last updated Apr 7, 2008
Key facts
- NPI
- 1669645164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA00004504 (WA)
- Practice address
- 1111 E Front St
Port Angeles, WA 98362-4307 - Phone
- (360) 477-4894
- NPI assigned
- Apr 7, 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 |
|---|---|---|---|
| RN00087016 | WA | MD | Registered Nurse |
| MA00004504 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00087016 | WA | |
| Massage Therapist | 225700000X | MA00004504 | WA | Yes |
Addresses
Primary practice location
1111 E Front St
Port Angeles, WA 98362-4307
Mailing address
PO Box 5202
Kent, WA 98064-5202
Phone (253) 520-0158
Other providers in Port Angeles, WA
- Marta Antonowicz
- Christina Apodaca
- Christy Armstrong
- Pamela L Arnott
- Assisted Living Concepts Inc
- Scot Bacon Athair
- Timothy James Atkisson
- Nicole Aughe
- Alan Richard Austin
- Jeanneine Elizabeth Austin
All providers in Port Angeles, 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 Apr 7, 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.