Provider Demographics
NPI:1003587148
Name:BREATHE BETTER MYOFUNCTIONAL THERAPY, LLC
Entity Type:Organization
Organization Name:BREATHE BETTER MYOFUNCTIONAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNELISE
Authorized Official - Middle Name:
Authorized Official - Last Name:DENNING
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:707-732-4494
Mailing Address - Street 1:9906 HART RD SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-9739
Mailing Address - Country:US
Mailing Address - Phone:707-732-4494
Mailing Address - Fax:
Practice Address - Street 1:115 CLEVELAND AVE SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-7718
Practice Address - Country:US
Practice Address - Phone:707-732-4494
Practice Address - Fax:360-352-2784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty