Provider Demographics
NPI:1396819918
Name:BARQUEST, ANNAMARIE LUCY (LMP)
Entity Type:Individual
Prefix:MRS
First Name:ANNAMARIE
Middle Name:LUCY
Last Name:BARQUEST
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 1:15324 MAIN ST E STE B
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-2698
Mailing Address - Country:US
Mailing Address - Phone:253-863-5323
Mailing Address - Fax:253-863-2034
Practice Address - Street 1:15324 MAIN ST E STE B
Practice Address - Street 2:
Practice Address - City:SUMNER
Practice Address - State:WA
Practice Address - Zip Code:98390-2698
Practice Address - Country:US
Practice Address - Phone:253-863-5323
Practice Address - Fax:253-863-2034
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00019697225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0139294OtherL & I PROVIDER NUMBER
WA407782-00OtherNATIONAL CERTIFICATION#
WA862702OtherABMP #
WAMA00019697OtherPROFESSIONAL LICENSE#