BRANDY LISTERMAN NPI 1184064412

NPI Information

NPI: 1184064412
Provider Name: BRANDY LISTERMAN
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
312 COLUMBIA ST NW
OLYMPIA, WA
ZIP 98501
Phone: (360) 357-1390
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Brandy Listerman is a massage therapist in Olympia, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Brandy Listerman NPI is 1184064412. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

312 COLUMBIA ST NW
OLYMPIA, WA
ZIP 98501-031
Phone: (360) 357-1390

The enumeration date for this NPI number is 7/1/2013 and was last updated on 7/1/2013.

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	225700000X	Massage Therapist		MA 60191640	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	MA 60191640	OTHER	WASHINGTON	MASSAGE PRACTITIONER LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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