Doctor Name: | MRS. HEATHER IRENE SIEMS |
NPI Number: | 1164687505 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | 00019274 |
Business Practice Address: | 5530 55th Loop Se Olympia, WA - 985134631 |
Business Phone Number: | 3602805976 |
Business Fax Number: | 3608661461 |
Mailing Address: | 5530 55th Loop Se, OLYMPIA |
State: | WA |
Postal Code: | 985134631 |
Phone Number: | 3602805976 |
Fax Number: | 3608661461 |
NPI Enumeration Date: | 07/24/2008 |
NPI Last Update Date: | 07/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 00019274 |
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. |