Doctor Name: | STEPHANIE HERINGER |
NPI Number: | 1013148287 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA00023036 |
Business Practice Address: | 8004 Mukilteo Speedway Suite 1 Mukilteo, WA - 982752653 |
Business Phone Number: | 4253531011 |
Business Fax Number: | 4253531033 |
Mailing Address: | 23500 39th Ave W, BRIER |
State: | WA |
Postal Code: | 980368278 |
Phone Number: | 4257707015 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2009 |
NPI Last Update Date: | 08/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00023036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |