Brenda Lynn Surerus, BPE LMP
Individual provider Active NPI Massage Therapist · Rainier, WA
NPI 1831360197 · NPPES record last updated Mar 14, 2008
Key facts
- NPI
- 1831360197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 109 Binghampton Street W
Suite a
Rainier, WA 98576 - Phone
- (360) 446-0116
- NPI assigned
- Mar 14, 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 |
|---|---|---|---|
| UBI601688933 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | WA | Yes |
Addresses
Primary practice location
109 Binghampton Street W
Suite a
Rainier, WA 98576
Mailing address
PO Box 512
Rainier, WA 98576
Phone (360) 446-0116
Other providers in Rainier, WA
- Kami Lee Lopez
- Susan R. Louis
- Rainier School District
- Yasha Sandberg
- Cindy Skakun
- Sheryl Anne Turner
- Tani Walker
- Wendy Marie Wilkerson
- James Williams
All providers in Rainier, 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 Mar 14, 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.