Doctor Name: | HANNAH ROSE |
NPI Number: | 1548566490 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA60201093 |
Business Practice Address: | 210 Lopez Rd. Lopez Island, WA - 98261 |
Business Phone Number: | 3604684842 |
Business Fax Number: | |
Mailing Address: | 68 Tuatara Rd, LOPEZ ISLAND |
State: | WA |
Postal Code: | 982618768 |
Phone Number: | 3604684110 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2011 |
NPI Last Update Date: | 09/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA60201093 |
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. |