DEIRDRE KIM MILLIGAN MASSAGE PRACTITIONER NPI 1053566208

NPI Information

NPI: 1053566208
Provider Name: DEIRDRE KIM MILLIGAN, MASSAGE PRACTITIONER
Classification: Contractor - 171W00000X
Entity Type: Individual
Address: 660 EVERGREEN WAY
AVALON MASSAGE & DAY SPA
SEQUIM, WA
ZIP 98382
Phone: (360) 582-9977

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NPI Details

Deirdre Kim Milligan, MASSAGE PRACTITIONER is a contractor in Sequim, WA. The provider is for the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status. Deirdre Kim Milligan, MASSAGE PRACTITIONER NPI is 1053566208. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

660 EVERGREEN WAY
AVALON MASSAGE & DAY SPA
SEQUIM, WA
ZIP 98382
Phone: (360) 582-9977

The enumeration date for this NPI number is 12/1/2008 and was last updated on 12/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171W00000X	Contractor		MA00021540	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0218884	OTHER	WASHINGTON	DEPARTMENT OF LABOR & INDUSTIRES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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