Provider Demographics
NPI:1437527587
Name:TOFT, ELAINA (BS, LMP, BCTMB)
Entity Type:Individual
Prefix:
First Name:ELAINA
Middle Name:
Last Name:TOFT
Suffix:
Gender:F
Credentials:BS, LMP, BCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:895 RIVERSIDE DR UNIT C140
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-3395
Mailing Address - Country:US
Mailing Address - Phone:971-241-1522
Mailing Address - Fax:
Practice Address - Street 1:136 E JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:CHELAN
Practice Address - State:WA
Practice Address - Zip Code:98816
Practice Address - Country:US
Practice Address - Phone:509-888-5477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-07
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-17172225700000X
WAMA 60607098225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist