Doctor Name: | MARIAH RAYNE ALBERTUS |
NPI Number: | 1508069634 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA00022341 |
Business Practice Address: | 11404 Ne 124th St Kirkland, WA - 980344305 |
Business Phone Number: | 4257615559 |
Business Fax Number: | |
Mailing Address: | 18910 Bothell Everett Hwy, Unit B-3 BOTHELL |
State: | WA |
Postal Code: | 980125200 |
Phone Number: | 4257615559 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 07/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00022341 |
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. |