Provider Demographics
NPI:1417111030
Name:PILBEAM, ROBYN (LMP)
Entity Type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:
Last Name:PILBEAM
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 1:777 MCMURRAY ST
Mailing Address - Street 2:APT 16
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354-2266
Mailing Address - Country:US
Mailing Address - Phone:509-591-8338
Mailing Address - Fax:
Practice Address - Street 1:3180 W CLEARWATER AVE
Practice Address - Street 2:STE F
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-2767
Practice Address - Country:US
Practice Address - Phone:509-591-8338
Practice Address - Fax:509-783-6675
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-13
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00024762225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist