SALLY MAE EDMINSTER LMP NPI 1053430355

NPI Information

NPI: 1053430355
Provider Name: SALLY MAE EDMINSTER, LMP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
16241 WOODBROOK LANE SE
RAINIER, WA
ZIP 98576
Phone: (360) 446-5151
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Sally Mae Edminster, LMP is a massage therapist in Rainier, WA. The provider is 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. Sally Mae Edminster, LMP NPI is 1053430355. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16241 WOODBROOK LANE SE
RAINIER, WA
ZIP 98576
Phone: (360) 446-5151

The enumeration date for this NPI number is 3/28/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA00016811	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0164905	OTHER	WASHINGTON	L & I PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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