Provider Demographics
NPI:1073983607
Name:LALONDE, TRISHA MARIE (MA60064144)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:MARIE
Last Name:LALONDE
Suffix:
Gender:F
Credentials:MA60064144
Other - Prefix:
Other - First Name:TRISHA
Other - Middle Name:MARIE
Other - Last Name:BATCHELDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA60064144
Mailing Address - Street 1:19032 66TH AVE S STE C100
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-2116
Mailing Address - Country:US
Mailing Address - Phone:425-436-0704
Mailing Address - Fax:
Practice Address - Street 1:19032 66TH AVE S STE C100
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-2116
Practice Address - Country:US
Practice Address - Phone:425-436-0704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-24
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60064144225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist