Provider Demographics
NPI:1164200416
Name:GREENHAW, ARIANNA RASHEL (LMT)
Entity Type:Individual
Prefix:
First Name:ARIANNA
Middle Name:RASHEL
Last Name:GREENHAW
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25209 STAR VIEW RD # PVT
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-8567
Mailing Address - Country:US
Mailing Address - Phone:425-263-1750
Mailing Address - Fax:
Practice Address - Street 1:2118 RIVERSIDE DR STE 105
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-5454
Practice Address - Country:US
Practice Address - Phone:360-424-6104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist