Jessica Laura Deroche in Bellevue - Massage Therapist
Jessica Laura Deroche - NPI 1982626412
Jessica Laura Deroche is a Massage Therapist in Bellevue, Washington. Jessica Laura Deroche practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Jessica Laura Deroche is 1982626412. The last update date is 2023-11-27.
Jessica Laura Deroche's current location address is 1940 116th Ave Ne Ste 100, Bellevue, Washington. You can contact this provider via phone number 4255909208 and fax number 4254803080. The mailing address for Jessica Laura Deroche is 1940 116th Ave Ne Ste 100, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Laura Deroche |
|---|---|
| Address | 1940 116th Ave Ne Ste 100, Bellevue, Washington |
| Phone Number | 4255909208 |
| Fax Number | 4254803080 |
| Sole Proprietor | N |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1982626412 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 1940 116th Ave Ne Ste 100 |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 980043011 |
| Phone Number | 4255909208 |
| Fax Number | 4254803080 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA00012837 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 206189 | WA | DEPT OF L & I |
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What is the unique identification code assigned to Jessica Laura Deroche by the Centers for Medicare & Medicaid Services?
The Jessica Laura Deroche has been issued the NPI (National Provider Identifier) 1982626412. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jessica Laura Deroche located?
The Jessica Laura Deroche is located at 1940 116Th Ave Ne Ste 100, Bellevue, WA 980043011.
What is Jessica Laura Deroche's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jessica Laura Deroche is Massage Therapist, and the taxonomy code that categorizes this field of expertise is 225700000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1982626412 to Jessica Laura Deroche?
The Jessica Laura Deroche received its 1982626412 assignment from the Centers for Medicare & Medicaid Services on 2006-07-24.
As of what date were the Jessica Laura Deroche's details last updated?
The information pertaining to the Jessica Laura Deroche, including its address, specialty, and other details, was most recently updated on 2023-11-27.