Janet Claire Atwater, L.M.P.

Individual provider Active NPI Massage Therapist · Walla Walla, WA

NPI 1982936183 · NPPES record last updated Feb 12, 2010

Key facts

NPI
1982936183
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA00012808 (WA)
Practice address
30 W Main St
Suite 202
Walla Walla, WA 99362-2872
Phone
(509) 526-0655
Fax
(509) 526-6944
NPI assigned
Feb 12, 2010
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

LicenseStateTypeSpecialty
MA00012808WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00012808 WA Yes

Addresses

Primary practice location

30 W Main St
Suite 202
Walla Walla, WA 99362-2872

Mailing address

30 W Main St
Suite 202
Walla Walla, WA 99362-2872
Phone (509) 526-0655

Other providers in Walla Walla, WA

All providers in Walla Walla, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.