Laci Berg is a Massage Therapist in Bellevue, Washington. Laci Berg practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Laci Berg is 1497747083. The last update date is 2018-07-30.
Laci Berg's current location address is 606 120th Ave Ne Ste D100, Bellevue, Washington. You can contact this provider via phone number 4256880223 and fax number 4256880323. The mailing address for Laci Berg is 606 120th Ave Ne Ste D100, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laci Berg |
|---|---|
| Address | 606 120th Ave Ne Ste D100, Bellevue, Washington |
| Phone Number | 4256880223 |
| Fax Number | 4256880323 |
| Sole Proprietor | Y |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1497747083 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2018-07-30 |
Provider Mailing Address Detail
| Address | 606 120th Ave Ne Ste D100 |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 98005 |
| Phone Number | 4256880223 |
| Fax Number | 4256880323 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA00017583 |
|
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 |
|---|---|---|---|
| 378345 | WA | DEPT OF L&I |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Laci Berg by the Centers for Medicare & Medicaid Services?
The Laci Berg has been issued the NPI (National Provider Identifier) 1497747083, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Laci Berg?
The Laci Berg is physically situated at 606 120Th Ave Ne Ste D100, in the city of Bellevue, state of WA, with the postal code 98005.
What is the Laci Berg's area of specialization and corresponding taxonomy classification?
The Laci Berg's specialty field is Massage Therapist, and it falls under the taxonomy code 225700000X, which categorizes healthcare providers based on their specialties.
On what date did the Laci Berg receive its 1497747083 assignment from the Centers for Medicare & Medicaid Services?
The Laci Berg was assigned its 1497747083 by the Centers for Medicare & Medicaid Services on 2005-08-18.
As of what date was the information regarding Laci Berg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Laci Berg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-07-30.