Doctor Name: | MS. ANN E FAIN |
NPI Number: | 1649499310 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA00009789 |
Business Practice Address: | 222 Yelm Ave. East Yelm, WA - 98597 |
Business Phone Number: | 3602929320 |
Business Fax Number: | |
Mailing Address: | Po Box 7530 Pmb 59, YELM |
State: | WA |
Postal Code: | 985977530 |
Phone Number: | 3602903376 |
Fax Number: | 3604584399 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00009789 |
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. |