Doctor Name: | MS. SOMMER DAWN STEPHENS |
NPI Number: | 1295908333 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA00024373 |
Business Practice Address: | 19721 Scriber Lake Road Suite D Lynnwood, WA - 980366119 |
Business Phone Number: | 4257753544 |
Business Fax Number: | 4256706502 |
Mailing Address: | 19721 Scriber Lake Road, Suite D LYNNWOOD |
State: | WA |
Postal Code: | 980366119 |
Phone Number: | 4257753544 |
Fax Number: | 4256706502 |
NPI Enumeration Date: | 04/09/2008 |
NPI Last Update Date: | 11/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00024373 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |