Doctor Name: | BRIAN D ERNST |
NPI Number: | 1407157282 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMP |
License Number: | MA00019838 |
Business Practice Address: | 101 E Main St Suite 201 Monroe, WA - 982721519 |
Business Phone Number: | 3608630642 |
Business Fax Number: | 3607947236 |
Mailing Address: | 340 26th Ave, SEATTLE |
State: | WA |
Postal Code: | 981226118 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/09/2010 |
NPI Last Update Date: | 11/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00019838 |
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. |