Rebecca Ewing, LMT
Individual provider Active NPI Massage Therapist · Colfax, WA
NPI 1679140271 · NPPES record last updated Jun 10, 2021
Key facts
- NPI
- 1679140271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA61161240 (WA)
- Practice address
- 202 S Mill St
Colfax, WA 99111-1830 - Phone
- (360) 265-9194
- NPI assigned
- Jun 10, 2021
- 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 |
|---|---|---|---|
| MA61161240 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61161240 | WA | Yes |
Addresses
Primary practice location
202 S Mill St
Colfax, WA 99111-1830
Mailing address
3202 S Palouse River Rd
Colfax, WA 99111-9418
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA61161240 | Other | WA | LICENSE CREDENTIAL NUMBER |
Other providers in Colfax, WA
- Deacon'S Medical Equipment
- Dr Healthy Foot PLLC
- Bradyn Reis Ellis
- Elizabeth Breanna Evangelista
- Evergreen Washington Healthcare Whitman, L.L.C.
- Sarah L Fielding
- Frances Wagner Counseling, LLC
- Harold Graeme French
- Elida Golob
- Carmen Gwinn
All providers in Colfax, 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 Jun 10, 2021. 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.