Theresa J Fremont, LMP
Individual provider Active NPI Massage Therapist · Sumner, WA
NPI 1689723975 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689723975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 00022941 (WA)
- Practice address
- 1117 .5 Main St
Sumner, WA 98390-1414 - Phone
- (253) 863-1699
- NPI assigned
- Jan 9, 2007
- 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 |
|---|---|---|---|
| 00022941 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 00022941 | WA | Yes |
Addresses
Primary practice location
1117 .5 Main St
Sumner, WA 98390-1414
Mailing address
715 4TH St NE
Puyallup, WA 98372-2921
Phone (253) 863-1699
Other providers in Sumner, WA
- Permelia May Foster
- Jacqueline A Frady
- Fred Meyer Inc
- Fred Meyer Stores Inc
- Michael Leigh Frederick-Martinez
- Cheryl Lynn Fried
- Robert O Garton Jr.
- Deena Y Gerasimov
- Geriatric Psychiatry Northwest PLLC
- David Norman Griggs
All providers in Sumner, 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 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.