Provider Demographics
NPI:1093089864
Name:KIRCHGESLER, EMILY (LMP)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:
Last Name:KIRCHGESLER
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 1:619 COMMERCIAL AVE
Mailing Address - Street 2:ALL ALTERNATIVE MASSAGE AND WELLNESS
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221
Mailing Address - Country:US
Mailing Address - Phone:360-920-5461
Mailing Address - Fax:
Practice Address - Street 1:619 COMMERCIAL AVE
Practice Address - Street 2:ALL ALTERNATIVE MASSAGE AND WELLNESS
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221
Practice Address - Country:US
Practice Address - Phone:360-920-5461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60116016163WM1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)