Doctor Name: | MS. EILEEN VINCENT |
NPI Number: | 1073980967 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MT07896 |
Business Practice Address: | 284 Central Way Kirkland, WA - 980336104 |
Business Phone Number: | 6025684282 |
Business Fax Number: | |
Mailing Address: | 11121 Ne 97th St, KIRKLAND |
State: | WA |
Postal Code: | 980335100 |
Phone Number: | 6025684282 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2015 |
NPI Last Update Date: | 08/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT07896 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
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. |