Audra Berreth in Vancouver - Massage Therapist
Audra Berreth - NPI 1568671287
Audra Berreth is a Massage Therapist in Vancouver, Washington. Audra Berreth practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Audra Berreth is 1568671287. The last update date is 2007-07-08.
Audra Berreth's current location address is 120 Ne 117th Ave, Vancouver, Washington. You can contact this provider via phone number 3609446692 and fax number 3609447732. The mailing address for Audra Berreth is 120 Ne 117th Ave, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audra Berreth |
|---|---|
| Address | 120 Ne 117th Ave, Vancouver, Washington |
| Phone Number | 3609446692 |
| Fax Number | 3609447732 |
| Sole Proprietor | Y |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1568671287 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 120 Ne 117th Ave |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986845020 |
| Phone Number | 3609446692 |
| Fax Number | 3609447732 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA00017876 |
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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 unique identification code assigned to Audra Berreth by the Centers for Medicare & Medicaid Services?
The Audra Berreth has been issued the NPI (National Provider Identifier) 1568671287. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Audra Berreth's facilities are situated?
The facilities of Audra Berreth are physically located at the following address: 120 Ne 117Th Ave, Vancouver, WA, 986845020.
What is Audra Berreth's area of expertise and its corresponding taxonomy classification?
The Audra Berreth's field of specialization is Massage Therapist, and it falls under the taxonomy code 225700000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568671287 to Audra Berreth?
The Centers for Medicare & Medicaid Services originally issued the 1568671287 to Audra Berreth on 2007-05-21.
When was the information pertaining to Audra Berreth most recently updated or revised?
The details related to Audra Berreth, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.