| Tammy Richert, Lmp | |
|
1710 W Main St Ste 218 Battle Ground WA 98604-4318 | |
| (360) 903-8742 | |
| Not Available |
| Full Name | Tammy Richert, Lmp |
|---|---|
| Speciality | Clinic/center |
| Location | 1710 W Main St Ste 218, Battle Ground, Washington |
| Authorized Official Name and Position | Tammy Lou Richert (MASSAGE THERAPIST) |
| Authorized Official Contact | 3609038742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Richert, Lmp 1710 W Main St Ste 218 Battle Ground WA 98604-4318 Ph: (360) 903-8742 | Tammy Richert, Lmp 1710 W Main St Ste 218 Battle Ground WA 98604-4318 Ph: (360) 903-8742 |
| NPI Number | 1083998850 |
|---|---|
| Provider Enumeration Date | 09/28/2011 |
| Last Update Date | 09/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083998850 | NPI | - | NPPES |
| 1700839180 | Other | WA | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MA00008409 (Washington) | Primary |
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