| Doctor Name: | THERESA K MEYERS |
| NPI Number: | 1063604908 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMP |
| License Number: | MA00023229 |
| Business Practice Address: | 710 S Everett St Kennewick, WA - 993367159 |
| Business Phone Number: | 5094306801 |
| Business Fax Number: | 5095829578 |
| Mailing Address: | 710 S Everett St, KENNEWICK |
| State: | WA |
| Postal Code: | 993365654 |
| Phone Number: | 5094306801 |
| Fax Number: | 5095829578 |
| NPI Enumeration Date: | 08/14/2007 |
| NPI Last Update Date: | 09/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM1400X |
| License Number: | MA00023229 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Nurse Massage Therapist (NMT) |
| Taxonomy Definition: | |