Provider Demographics
NPI:1477786796
Name:PARSONS, JANET E (LMP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:E
Last Name:PARSONS
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 1:2921 27TH ST.
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:WA
Mailing Address - Zip Code:99403-1690
Mailing Address - Country:US
Mailing Address - Phone:509-758-1179
Mailing Address - Fax:509-758-1179
Practice Address - Street 1:2921 27TH ST.
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:WA
Practice Address - Zip Code:99403-1690
Practice Address - Country:US
Practice Address - Phone:509-758-1179
Practice Address - Fax:509-758-1179
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60090676225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist