Deborah Lynn Anderson, LMP
Individual provider Active NPI Massage Therapist · Puyallup, WA
NPI 1992928808 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992928808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA00019564 (WA)
- Practice address
- 3806 9TH St SW
Suite D
Puyallup, WA 98373-3687 - Phone
- (253) 770-0412
- Fax
- (253) 770-0511
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| MA00019564 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Werner Chiropractic PS Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00019564 | WA | Yes |
Addresses
Primary practice location
3806 9TH St SW
Suite D
Puyallup, WA 98373-3687
Mailing address
3806 9TH St SW
Suite D
Puyallup, WA 98373-3687
Phone (253) 770-0412
Other names
- Deborah Wiens
Other providers in Puyallup, WA
- Amanda Nichole Anderson
- Andrea M Anderson
- Annagrace Elizabeth Anderson
- Candace Anderson
- Cornell Willard Anderson
- Jaclyn Anderson
- Jennifer D Anderson
- Julie Anne Anderson
- Kailyn Marie Anderson
- Kristen R Anderson
All providers in Puyallup, 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 Jul 8, 2007. 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.