Tamey Lorraine Goodrum, LMP is a
Massage Therapist based in Ruston, Washington. Tamey Lorraine Goodrum is licensed to practice in Washington (license number MA00023967) and her current practice location is
4925 N Pearl St Ste A, Ruston, Washington. She can be reached at her office (for appointments etc.) via phone at
(253) 507-2634.
NPI number for Tamey Lorraine Goodrum is 1568611127 and her current mailing address is 4925 N Pearl St Ste A, Ruston, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568611127.
Healthcare Provider's Profile
| Full Name | Tamey Lorraine Goodrum |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
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| Location | 4925 N Pearl St Ste A, Ruston, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568611127
- Provider Enumeration Date: 09/18/2008
- Last Update Date: 09/18/2008
Medical Identifiers
Medical identifiers for Tamey Lorraine Goodrum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568611127 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | MA00023967 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tamey Lorraine Goodrum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tamey Lorraine Goodrum, LMP 4925 N Pearl St Ste A, Ruston, WA 98407-3137 Ph: (253) 507-2634 | Tamey Lorraine Goodrum, LMP 4925 N Pearl St Ste A, Ruston, WA 98407-3137 Ph: (253) 507-2634 |
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