Carolee Rose Bevers, LMP
Individual provider Active NPI Massage Therapist · Monroe, WA
NPI 1821390659 · NPPES record last updated Nov 30, 2010
Key facts
- NPI
- 1821390659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA 60167755 (WA)
- Practice address
- 101 E Main St Ste 201
Monroe, WA 98272-1519 - Phone
- (425) 614-8542
- Fax
- (360) 794-7236
- NPI assigned
- Nov 30, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| MA 60167755 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 60167755 | WA | Yes |
Addresses
Primary practice location
101 E Main St Ste 201
Monroe, WA 98272-1519
Mailing address
8500 16TH Ave NW Apt 405
Seattle, WA 98117-3613
Other providers in Monroe, WA
- BD Monroe I LLC
- Sherry Lynn Bergner
- Ambyr Berman
- Karl Friedrich Berner
- Jane Betzer
- Valeria Ignacia Bezama Jimenez
- Kylie Raeann Black
- Debra Ann Blaha
- Melanie Boffey
- Carolyn Joanne Bohnen
All providers in Monroe, 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 Nov 30, 2010. 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.