Provider Demographics
NPI:1326183518
Name:CAMENZIND CAPENER, NANCY ARLENE (LMP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ARLENE
Last Name:CAMENZIND CAPENER
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 1:934 PACIFIC PK DR SE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-1483
Mailing Address - Country:US
Mailing Address - Phone:360-491-0704
Mailing Address - Fax:
Practice Address - Street 1:805 WEST BAY DR
Practice Address - Street 2:GET IN TOUCH MASSAGE
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502
Practice Address - Country:US
Practice Address - Phone:360-943-7739
Practice Address - Fax:360-943-0941
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00020806225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist