Langley, Mary Lou

Langley, Mary Lou is an sole proprietor health care provider with primary practice located at 19601 Road F.4 Ne , Soap Lake WA 98851-9701. 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. Langley, Mary Lou can be contacted via phone (509) 246-8053.

Contact Information

Primary practice address
19601 Road F.4 Ne Soap Lake WA 98851-9701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA 60214732 Washington

Profile Details

NPI number 1033409578
LBN Legal business name Langley, Mary Lou
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2011
Last updated Apr 18th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033409578 NPPES
Washington Other MA 60214732 LICENSED MASSAGE PRACTIONER

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