Doctor Name: | ADRIANE MERYL MARTIN |
NPI Number: | 1982973673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA 60042292 |
Business Practice Address: | 16030 Bothell Everett Hwy Ste 220 Mill Creek, WA - 980121741 |
Business Phone Number: | 4253853060 |
Business Fax Number: | 4253852230 |
Mailing Address: | 16030 Bothell Everett Hwy, Ste 220 MILL CREEK |
State: | WA |
Postal Code: | 980121741 |
Phone Number: | 4253853060 |
Fax Number: | 4253852230 |
NPI Enumeration Date: | 12/25/2011 |
NPI Last Update Date: | 12/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA 60042292 |
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. |