Doctor Name: | MRS. JENNIFER T THAYER |
NPI Number: | 1285960716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.P |
License Number: | MA60103861 |
Business Practice Address: | 402 W Washington Ave Ste E Union Gap, WA - 989031440 |
Business Phone Number: | 5094537368 |
Business Fax Number: | |
Mailing Address: | 312 W Washington Ave, UNION GAP |
State: | WA |
Postal Code: | 989031438 |
Phone Number: | 5094537368 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2009 |
NPI Last Update Date: | 04/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA60103861 |
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. |