Dick Duane Pouliot in Snohomish - Massage Therapist
Dick Duane Pouliot - NPI 1164565701
Dick Duane Pouliot is a Massage Therapist in Snohomish, Washington. Dick Duane Pouliot practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Dick Duane Pouliot is 1164565701. The last update date is 2007-07-08.
Dick Duane Pouliot's current location address is 10218 60th St Se, Snohomish, Washington. You can contact this provider via phone number 4252801008. The mailing address for Dick Duane Pouliot is 10218 60th St Se, Snohomish, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dick Duane Pouliot |
|---|---|
| Address | 10218 60th St Se, Snohomish, Washington |
| Phone Number | 4252801008 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1164565701 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10218 60th St Se |
|---|---|
| City | Snohomish |
| State | Washington (WA) |
| Post Code | 982901016 |
| Phone Number | 4252801008 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | M00004930 |
|
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 |
|---|---|---|---|
| 54890 | WA | L&I NUMBER | |
| PO9881 | WA | REGENCE BLUE SHIELD NUM. |
Post Comment/ Review Below
What is the Dick Duane Pouliot's 1164565701?
The Dick Duane Pouliot's NPI (National Provider Identifier) Number is 1164565701. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Dick Duane Pouliot?
The Dick Duane Pouliot is situated at 10218 60Th St Se, in the city of Snohomish, state of WA, with the zip code 982901016.
What is Dick Duane Pouliot's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dick Duane Pouliot is Massage Therapist, and the corresponding taxonomy classification code for this specialized field is 225700000X.
On what date did the Dick Duane Pouliot receive its 1164565701 assignment from the Centers for Medicare & Medicaid Services?
The Dick Duane Pouliot was assigned its 1164565701 by the Centers for Medicare & Medicaid Services on 2007-02-14.
As of what date was the information pertaining to Dick Duane Pouliot, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dick Duane Pouliot, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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