Provider Demographics
NPI:1073500666
Name:BIGGER, BRENDA J (LMP)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:J
Last Name:BIGGER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 S STILL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3577
Mailing Address - Country:US
Mailing Address - Phone:360-683-8111
Mailing Address - Fax:
Practice Address - Street 1:502 S STILL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3577
Practice Address - Country:US
Practice Address - Phone:362-683-8111
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00016436225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist