Doctor Name: | MRS. MICHELLE LYNN BINGHAM |
NPI Number: | 1548487077 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP, CA |
License Number: | MA00022427 |
Business Practice Address: | 4423 Point Fosdick Dr Nw Ste 310 Gig Harbor, WA - 983351794 |
Business Phone Number: | 2538515900 |
Business Fax Number: | |
Mailing Address: | 6701 87th St Nw, GIG HARBOR |
State: | WA |
Postal Code: | 983326767 |
Phone Number: | 2086614577 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 10/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00022427 |
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. |