Trace Jean Paul in Okanogan - Massage Therapist
Trace Jean Paul - NPI 1700939923
Trace Jean Paul is a Massage Therapist in Okanogan, Washington. Trace Jean Paul practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Trace Jean Paul is 1700939923. The last update date is 2007-07-08.
Trace Jean Paul's current location address is 1161 2nd Ave S, Okanogan, Washington. You can contact this provider via phone number 5094220630 and fax number 5094220630. The mailing address for Trace Jean Paul is 1161 2nd Ave S, Okanogan, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Trace Jean Paul |
|---|---|
| Address | 1161 2nd Ave S, Okanogan, Washington |
| Phone Number | 5094220630 |
| Fax Number | 5094220630 |
| Sole Proprietor | Y |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1700939923 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1161 2nd Ave S |
|---|---|
| City | Okanogan |
| State | Washington (WA) |
| Post Code | 988409709 |
| Phone Number | 5094220630 |
| Fax Number | 5094220630 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA00020264 |
|
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 |
|---|---|---|---|
| MA00020264 | WA | WA STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Trace Jean Paul by the Centers for Medicare & Medicaid Services (CMS)?
The Trace Jean Paul has been assigned the NPI (National Provider Identifier) 1700939923. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Trace Jean Paul is physically located?
The Trace Jean Paul is physically situated at the following address: 1161 2Nd Ave S, Okanogan, WA, 988409709.
What is Trace Jean Paul's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Trace Jean Paul is Massage Therapist, and the taxonomy code that categorizes this field of expertise is 225700000X.
When was the Trace Jean Paul's 1700939923 issued?
The Trace Jean Paul's 1700939923 was issued on 2007-01-19.
As of what date were the details pertaining to Trace Jean Paul last refreshed?
The information related to the Trace Jean Paul, including its address, specialty, and other relevant details, was last updated on 2007-07-08.