Doctor Name: | BRANDY RAE HARTEAU |
NPI Number: | 1952607186 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA60204140 |
Business Practice Address: | 2748 Milton Way Ste 211 Milton, WA - 983549379 |
Business Phone Number: | 2539520302 |
Business Fax Number: | 2539520307 |
Mailing Address: | 2748 Milton Way Ste 211, MILTON |
State: | WA |
Postal Code: | 983549379 |
Phone Number: | 2539520302 |
Fax Number: | 2539520307 |
NPI Enumeration Date: | 02/05/2011 |
NPI Last Update Date: | 09/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA60204140 |
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. |