Provider Demographics
NPI:1063857555
Name:EMIGH, RIKKI ANNE
Entity Type:Individual
Prefix:
First Name:RIKKI
Middle Name:ANNE
Last Name:EMIGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5421 57TH STREET CT W
Mailing Address - Street 2:APARTMENT F8
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98467-4325
Mailing Address - Country:US
Mailing Address - Phone:509-449-8612
Mailing Address - Fax:
Practice Address - Street 1:1717 S 324TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8500
Practice Address - Country:US
Practice Address - Phone:253-838-6909
Practice Address - Fax:253-661-3610
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60364919225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA100663164OtherBLUE CROSS