CARLA MAE CUNNINGHAM LMP NPI 1457575987

NPI Information

NPI: 1457575987
Provider Name: CARLA MAE CUNNINGHAM, LMP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
18404 121ST ST E
BONNEY LAKE, WA
ZIP 98391
Phone: (253) 365-2116
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Carla Mae Cunningham, LMP is a massage therapist in Bonney Lake, 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. Carla Mae Cunningham, LMP NPI is 1457575987. 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:

18404 121ST ST E
BONNEY LAKE, WA
ZIP 98391-109
Phone: (253) 365-2116
Fax: (253) 862-0661

The enumeration date for this NPI number is 4/13/2007 and was last updated on 2/23/2017.

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		MA00010645	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	0203937	OTHER	WASHINGTON	L&I PROVIDER

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: 5/5/2024

NPI Synchronization or Removal

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