Doctor Name: | MRS. MARY LYNN MCRAE |
NPI Number: | 1700909652 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | MA00009102 MASSAGE |
Business Practice Address: | 807 N Argonne Rd Spokane Valley, WA - 992122789 |
Business Phone Number: | 5099243551 |
Business Fax Number: | 5099243551 |
Mailing Address: | 23005 E Mocha Ln, LIBERTY LAKE |
State: | WA |
Postal Code: | 990199432 |
Phone Number: | 5092556035 |
Fax Number: | 5092556035 |
NPI Enumeration Date: | 04/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA00009102 MASSAGE |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |