Provider Demographics
NPI:1134458284
Name:WHITEFOOT, JOY L (MASSAGE THERAPH/ESTH)
Entity Type:Individual
Prefix:MISS
First Name:JOY
Middle Name:L
Last Name:WHITEFOOT
Suffix:
Gender:F
Credentials:MASSAGE THERAPH/ESTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:32124 1ST AVE SOUTH
Mailing Address - Street 2:STE #200
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003
Mailing Address - Country:US
Mailing Address - Phone:253-835-1100
Mailing Address - Fax:253-838-2770
Practice Address - Street 1:8615 S. TACOMA WAY
Practice Address - Street 2:(OLYMPUS SPA)
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499
Practice Address - Country:US
Practice Address - Phone:253-588-3355
Practice Address - Fax:253-588-3367
Is Sole Proprietor?:No
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMA00015051225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist