Provider Demographics
NPI:1497287585
Name:PAGLIA, ELIZABETH (LMP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:PAGLIA
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 1:4808 GROVE ST APT 4
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-4470
Mailing Address - Country:US
Mailing Address - Phone:425-971-8523
Mailing Address - Fax:
Practice Address - Street 1:4808 GROVE ST APT 4
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-4470
Practice Address - Country:US
Practice Address - Phone:425-971-8523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60491383225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist