Emilynn Eichman, LMT

Individual provider Active NPI Massage Therapist · Ferndale, WA

NPI 1871344580 · NPPES record last updated Mar 29, 2024

Key facts

NPI
1871344580
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA61534684 (WA)
Practice address
6046 Portal Way Ste 102
Ferndale, WA 98248-7829
Phone
(360) 778-1171
NPI assigned
Mar 29, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA61534684WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Salt of the Earth Massage PLLC Massage Therapist Current
since Mar 31, 2024
Accepting new patients

Locations

6046 Portal Way
Ste 102
Ferndale, WA 98248
Phone (360) 201-5712

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61534684 WA Yes

Addresses

Primary practice location

6046 Portal Way Ste 102
Ferndale, WA 98248-7829

Mailing address

6046 Portal Way Ste 102
Ferndale, WA 98248-7829
Phone (360) 778-1171

Other providers in Ferndale, WA

All providers in Ferndale, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.