Provider Demographics
NPI:1083023956
Name:RIIPINEN, GLYNIS SYBIL (LMP)
Entity Type:Individual
Prefix:MRS
First Name:GLYNIS
Middle Name:SYBIL
Last Name:RIIPINEN
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 1:48401 121ST AVE E
Mailing Address - Street 2:
Mailing Address - City:EATONVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98328-9456
Mailing Address - Country:US
Mailing Address - Phone:253-569-4942
Mailing Address - Fax:
Practice Address - Street 1:48401 121ST AVE E
Practice Address - Street 2:
Practice Address - City:EATONVILLE
Practice Address - State:WA
Practice Address - Zip Code:98328-9456
Practice Address - Country:US
Practice Address - Phone:253-569-4942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60474965225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist