Doctor Name: | MRS. LORI ANN WARREN |
NPI Number: | 1932193836 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA00020440 |
Business Practice Address: | 1120 S 4th St Sunnyside, WA - 989442185 |
Business Phone Number: | 5098372600 |
Business Fax Number: | 5098372291 |
Mailing Address: | 1771 Johnson Ln, MABTON |
State: | WA |
Postal Code: | 989359785 |
Phone Number: | 5098945252 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00020440 |
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. |