Doctor Name: | MRS. LETA KAYE EILERS |
NPI Number: | 1487841623 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA00024665 |
License Number: | MA00024665 |
Business Practice Address: | 17039 Se 272nd St Suite 104 Covington, WA - 980427348 |
Business Phone Number: | 2537408373 |
Business Fax Number: | 2536317920 |
Mailing Address: | 16431 Se 235th St., KENT |
State: | WA |
Postal Code: | 98042 |
Phone Number: | 2537408373 |
Fax Number: | 2536317920 |
NPI Enumeration Date: | 10/02/2007 |
NPI Last Update Date: | 09/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00024665 |
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. |