Provider Demographics
NPI:1033271614
Name:STRAND, MICHELLE M (RD, LMP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:M
Last Name:STRAND
Suffix:
Gender:F
Credentials:RD, LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 OLD HIGHWAY 99 SE # B
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-9536
Mailing Address - Country:US
Mailing Address - Phone:360-972-4105
Mailing Address - Fax:360-878-8290
Practice Address - Street 1:10300 OLD HIGHWAY 99 SE # B
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-9536
Practice Address - Country:US
Practice Address - Phone:360-972-4105
Practice Address - Fax:360-878-8290
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI60359963133V00000X
WAMA00015960225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered