Provider Demographics
NPI:1164512448
Name:ESLINGER, DEBBIE L (RN, LMP)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:L
Last Name:ESLINGER
Suffix:
Gender:F
Credentials:RN, LMP
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:L
Other - Last Name:ESLINGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:112 S 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3306
Mailing Address - Country:US
Mailing Address - Phone:509-225-1471
Mailing Address - Fax:509-225-1488
Practice Address - Street 1:106 S 7TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3306
Practice Address - Country:US
Practice Address - Phone:509-225-1471
Practice Address - Fax:509-225-1488
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00012507225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA135024OtherL & I PROVIDER # FOR MASS