Provider Demographics
NPI:1245430081
Name:SCHOFIELD, WENDY A (LMP)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:A
Last Name:SCHOFIELD
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 1:509 12TH AVE SE
Mailing Address - Street 2:STE#17
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-7514
Mailing Address - Country:US
Mailing Address - Phone:360-352-7511
Mailing Address - Fax:360-352-7511
Practice Address - Street 1:509 12TH AVE SE
Practice Address - Street 2:STE#17
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-7514
Practice Address - Country:US
Practice Address - Phone:360-352-7511
Practice Address - Fax:360-352-7511
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00000669225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist