Bennett, Melanie Moore
Bennett, Melanie Moore is an individual health care provider with primary practice located at 1610 Bishop Rd Sw Ste 103, Tumwater WA 98512-7303. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bennett, Melanie Moore can be contacted via phone (360) 459-9000.Contact Information
Primary practice address
1610 Bishop Rd Sw Ste 103
Tumwater WA 98512-7303
Phone: (360) 459-9000
Fax: (360) 459-9183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MAOOOO6291 | Washington |
Profile Details
| NPI number | 1417022849 |
|---|---|
| LBN Legal business name | Bennett, Melanie Moore |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417022849 | NPPES |
| Washington | Other | 140315 | L&I |
| Washington | Other | 0642BE | L&I |
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