Kelliher, Therese
Kelliher, Therese is an individual health care provider with primary practice located at 2076 Main Street Suite #4, Ferndale WA 98248-0442. 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. Kelliher, Therese can be contacted via phone (360) 380-1814.Contact Information
Primary practice address
2076 Main Street Suite #4
Ferndale WA 98248-0442
Phone: (360) 380-1814
Fax: (360) 380-1814
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA9968 | Washington |
Profile Details
NPI number | 1518028299 |
---|---|
LBN Legal business name | Kelliher, Therese |
Credentials | LMP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 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 | 1518028299 | NPPES |
Washington | Other | 111402 | LABOR & INDUSTRIES |
Washington | Other | 17574 | LABOR & INDUSTRIES |
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