Provider Demographics
NPI:1457473365
Name:DENTON, MARYROSE DUNNE (LMP)
Entity Type:Individual
Prefix:MS
First Name:MARYROSE
Middle Name:DUNNE
Last Name:DENTON
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:426 N OLYMPIC AVE
Mailing Address - Street 2:THE WELLNESS CLINIC
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223
Mailing Address - Country:US
Mailing Address - Phone:360-435-8490
Mailing Address - Fax:360-435-3332
Practice Address - Street 1:426 N OLYMPIC AVE
Practice Address - Street 2:THE WELLNESS CLINIC
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223
Practice Address - Country:US
Practice Address - Phone:360-435-8490
Practice Address - Fax:360-435-3332
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00006539225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist