Fawndove O Brubaker in Camas - Massage Therapist
Fawndove O Brubaker - NPI 1659326304
Fawndove O Brubaker is a Massage Therapist in Camas, Washington. Fawndove O Brubaker practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Fawndove O Brubaker is 1659326304. The last update date is 2012-09-14.
Fawndove O Brubaker's current location address is 19206 Se 1st St, Camas, Washington. You can contact this provider via phone number 5034904149. The mailing address for Fawndove O Brubaker is 19206 Se 1st St, Camas, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fawndove O Brubaker |
|---|---|
| Address | 19206 Se 1st St, Camas, Washington |
| Phone Number | 5034904149 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1659326304 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2012-09-14 |
Provider Mailing Address Detail
| Address | 19206 Se 1st St |
|---|---|
| City | Camas |
| State | Washington (WA) |
| Post Code | 986077478 |
| Phone Number | 5034904149 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 10892 |
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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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Post Comment/ Review Below
What is the Fawndove O Brubaker's 1659326304?
The Fawndove O Brubaker's NPI (National Provider Identifier) Number is 1659326304. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Fawndove O Brubaker is physically located?
The Fawndove O Brubaker is situated at the following address: 19206 Se 1St St, Camas, WA 986077478.
What is Fawndove O Brubaker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Fawndove O Brubaker is Massage Therapist, and the taxonomy classification code that categorizes this area of expertise is 225700000X.
On what date did the Fawndove O Brubaker receive the assignment of its 1659326304 from the Centers for Medicare & Medicaid Services?
The Fawndove O Brubaker was issued its 1659326304 by the Centers for Medicare & Medicaid Services on 2006-05-23.
As of what date was the information pertaining to Fawndove O Brubaker, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Fawndove O Brubaker, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-14.