NPI 1063466555 MISS KASSANDRA FENTRESS LMP CENTRALIA WA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Miss Kassandra Fentress - NPI: 1063466555

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MISS KASSANDRA FENTRESS
NPI Number: 1063466555
Entity Type Code: Individual (1)
Gender: F
Credentials: LMP
License Number: MA20522
Business Practice Address: 1570 N National Ave Suite 204
Chehalis, WA - 98532
Business Phone Number: 3607405388
Business Fax Number: 3607403772
Mailing Address: Po Box 335,
CENTRALIA
State: WA
Postal Code: 98531
Phone Number: 3607405388
Fax Number: 3607403772
NPI Enumeration Date: 05/20/2006
NPI Last Update Date: 06/05/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 225700000X
License Number: MA20522
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.


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