MS. SUNNY WALLIS BIRDSTONE LMP NPI 1861568883

NPI Information

NPI: 1861568883
Provider Name: MS. SUNNY WALLIS BIRDSTONE, LMP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
821 HARVEY RD
AUBURN, WA
ZIP 98002
Phone: (253) 833-1833
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MS. Sunny Wallis Birdstone, LMP is a massage therapist in Auburn, 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. MS. Sunny Wallis Birdstone, LMP NPI is 1861568883. 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:

821 HARVEY RD
AUBURN, WA
ZIP 98002-225
Phone: (253) 833-1833
Fax: (253) 833-4642

The enumeration date for this NPI number is 11/28/2006 and was last updated on 7/8/2007.

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		MA9942	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	0007372197	OTHER	WASHINGTON	AETNA
2	5316WA	OTHER	WASHINGTON	REGENCE BLUE SHIELD
3	218248218247	OTHER	WASHINGTON	PREMERA BLUE CROSS
4	0137636	OTHER	WASHINGTON	WA LABOR AND INDUSTRIES

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: 11/14/2023

NPI Synchronization or Removal

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