Provider Demographics
NPI:1033371042
Name:TAPP, AMANDA E (LMT)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:E
Last Name:TAPP
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2210 132ND AVE SE
Mailing Address - Street 2:210
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3924
Mailing Address - Country:US
Mailing Address - Phone:206-356-3728
Mailing Address - Fax:
Practice Address - Street 1:1740 NW MAPLE ST
Practice Address - Street 2:111
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-8127
Practice Address - Country:US
Practice Address - Phone:425-394-1200
Practice Address - Fax:425-394-0100
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00024452225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist