Jeremy P Bebeau, LMP
Individual provider Active NPI Massage Therapist · Seattle, WA
NPI 1801916853 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801916853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA00023973 (WA)
- Practice address
- 1129 29TH Ave S
Apt 2
Seattle, WA 98144-3117 - Phone
- (206) 850-4387
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- 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 |
|---|---|---|---|
| MA00023973 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00023973 | WA | Yes |
Addresses
Primary practice location
1129 29TH Ave S
Apt 2
Seattle, WA 98144-3117
Mailing address
1129 29TH Ave S
Apt 2
Seattle, WA 98144-3117
Phone (206) 850-4387
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- Cindy Crystal Beavon
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- Carol Ann Beber
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All providers in Seattle, 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.