Kirstie L Tharge in Graham - Massage Therapist

Kirstie L Tharge - NPI 1184617052

Kirstie L Tharge is a Massage Therapist in Graham, Washington. Kirstie L Tharge practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Kirstie L Tharge is 1184617052. The last update date is 2007-07-08.

Kirstie L Tharge's current location address is 21806 103rd Avenue Ct E, Graham, Washington. You can contact this provider via phone number 2538473700 and fax number 2538479622. The mailing address for Kirstie L Tharge is 21806 103rd Avenue Ct E, Graham, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Kirstie L Tharge
Address 21806 103rd Avenue Ct E, Graham, Washington
Phone Number 2538473700
Fax Number 2538479622
Sole Proprietor X
Credentials LMP

NPI Number Detail

NPI Number 1184617052
Provider Enumeration Date 2005-08-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 21806 103rd Avenue Ct E
City Graham
State Washington (WA)
Post Code 983388115
Phone Number 2538473700
Fax Number 2538479622

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA00016405
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
178352 WA DEPT OF L&I
8931496 WA CRIME VICTIMS
3852TH WA REGENCE B/S

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FAQs about Kirstie L Tharge

What is the unique provider identifier assigned to Kirstie L Tharge?

The Kirstie L Tharge has been issued the NPI (National Provider Identifier) 1184617052 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Kirstie L Tharge is geographically located?

The Kirstie L Tharge is physically situated at the following location: 21806 103Rd Avenue Ct E, Graham, WA, 983388115.

What is Kirstie L Tharge'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 Kirstie L Tharge is Massage Therapist, and the taxonomy classification code that categorizes this area of expertise is 225700000X.

On what date did the Kirstie L Tharge receive its 1184617052 assignment from the Centers for Medicare & Medicaid Services?

The Kirstie L Tharge was assigned its 1184617052 by the Centers for Medicare & Medicaid Services on 2005-08-25.

As of what date were the details pertaining to Kirstie L Tharge last refreshed?

The information related to the Kirstie L Tharge, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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