Provider Demographics
NPI:1437236668
Name:FILIPOWICZ, AIMEE LYNN (LMP)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:LYNN
Last Name:FILIPOWICZ
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 1:19707 82ND ST CT EAST
Mailing Address - Street 2:
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391
Mailing Address - Country:US
Mailing Address - Phone:253-299-6506
Mailing Address - Fax:360-825-7549
Practice Address - Street 1:1624 PIONEER STREET SUITE A
Practice Address - Street 2:
Practice Address - City:ENUMCLAW
Practice Address - State:WA
Practice Address - Zip Code:98022
Practice Address - Country:US
Practice Address - Phone:360-825-7549
Practice Address - Fax:360-825-4645
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00018973225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist