Rachel Renee Andringa

Individual provider Active NPI Massage Therapist · Bonney Lake, WA

NPI 1992217152 · NPPES record last updated Apr 28, 2020

Key facts

NPI
1992217152
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
60731730 (WA)
Practice address
19102 Wa-410
Bonney Lake, WA 98391
Phone
(253) 863-6378
NPI assigned
Oct 27, 2017
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

LicenseStateTypeSpecialty
60731730WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 60731730 WA Yes

Addresses

Primary practice location

19102 Wa-410
Bonney Lake, WA 98391

Mailing address

12316 239TH Ave E
Buckley, WA 98321-9398
Phone (253) 258-1058

Other providers in Bonney Lake, WA

All providers in Bonney Lake, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.