Provider Demographics
NPI:1366651390
Name:MALLEY, FRANCES GRACE (LMP)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:GRACE
Last Name:MALLEY
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:GRACE
Other - Middle Name:
Other - Last Name:MALLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMP
Mailing Address - Street 1:1919 97TH STREET CT NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-7504
Mailing Address - Country:US
Mailing Address - Phone:253-380-7571
Mailing Address - Fax:253-851-8629
Practice Address - Street 1:1919 97TH STREET CT NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-7504
Practice Address - Country:US
Practice Address - Phone:253-380-7571
Practice Address - Fax:253-851-8639
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00020877225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist