Provider Demographics
NPI:1407070154
Name:SPALDING, MERIPAT
Entity Type:Individual
Prefix:MS
First Name:MERIPAT
Middle Name:
Last Name:SPALDING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 NUT TREE LOOP SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-3149
Mailing Address - Country:US
Mailing Address - Phone:360-951-3665
Mailing Address - Fax:
Practice Address - Street 1:ARTISIAN WELLNESS MERIPAT SPALDING
Practice Address - Street 2:524 JEFFERSON ST SE
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501
Practice Address - Country:US
Practice Address - Phone:360-951-3665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00001478174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist