Provider Demographics
NPI:1447568142
Name:HARRINGTON, BONNIE I (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:I
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4303 W. 27TH AVENUE
Mailing Address - Street 2:SUITE E
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338
Mailing Address - Country:US
Mailing Address - Phone:509-783-0834
Mailing Address - Fax:509-987-1090
Practice Address - Street 1:4303 W. 27TH AVENUE
Practice Address - Street 2:SUITE E
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99338
Practice Address - Country:US
Practice Address - Phone:509-783-0834
Practice Address - Fax:509-987-1090
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00019606225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist