NANCY KRISTINE HALLER GCFP NCMMT LMP MA NPI 1649358573

NPI Information

NPI: 1649358573
Provider Name: NANCY KRISTINE HALLER, GCFP NCMMT LMP MA
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
821 S 219TH ST APT 8
DES MOINES, WA
ZIP 98198
Phone: (425) 282-0406
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Nancy Kristine Haller, GCFP NCMMT LMP MA is a massage therapist in Des Moines, 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. Nancy Kristine Haller, GCFP NCMMT LMP MA NPI is 1649358573. 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:

821 S 219TH ST APT 8
DES MOINES, WA
ZIP 98198-364
Phone: (425) 282-0406
Fax: (206) 824-7378

The enumeration date for this NPI number is 11/1/2006 and was last updated on 3/31/2023.

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	204C00000X	Neuromusculoskeletal Medicine, Sports Medicine		GCFP1653	OREGON	No
2	2081N0008X	Physical Medicine & Rehabilitation	Neuromuscular Medicine	1653	OREGON	No
3	2081N0008X	Physical Medicine & Rehabilitation	Neuromuscular Medicine	MA00008877	WASHINGTON	No
4	225700000X	Massage Therapist		NCMMT0019	NORTH CAROLINA	No
5	225700000X	Massage Therapist		MA00008877	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 Issuer
1	0151472	OTHER	LABOR AND INDUSTRIES
2	912120516	OTHER	HMA
3	146525495	OTHER	PACIFICCARE
4	533829001	OTHER	GROUP HEALTH COOPERATIVE
5	912120516	OTHER	AMERICAN WHOLEHEALTH NETW
6	341120341120	OTHER	PREMERA
7	341120341120	OTHER	LIFEWISE
8	912120516	OTHER	UNITED HEALTHCARE
9	912120516	OTHER	KPS
10	912120516	OTHER	GUARDIAN
11	912120516	OTHER	FIRST CHOICE
12	0005102596	OTHER	AETNA
13	912120516	OTHER	BLUE CROSS BLUE SHIELD
14	91212051600	OTHER	UNIFORM
15	HA4253	OTHER	REGENCE

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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