Provider Demographics
NPI:1407231053
Name:FLASHMAN, ROBIIN (LMP)
Entity Type:Individual
Prefix:
First Name:ROBIIN
Middle Name:
Last Name:FLASHMAN
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:PO BOX 153
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-0153
Mailing Address - Country:US
Mailing Address - Phone:425-231-4377
Mailing Address - Fax:360-794-5389
Practice Address - Street 1:126 S FERRY ST STE 1
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-2334
Practice Address - Country:US
Practice Address - Phone:360-794-5389
Practice Address - Fax:360-794-5389
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00005660225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist