Provider Demographics
NPI:1497971105
Name:ANDERSON-POHLMAN, DENISE KAY (LMP)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:KAY
Last Name:ANDERSON-POHLMAN
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 1:860 COLE ST
Mailing Address - Street 2:
Mailing Address - City:ENUMCLAW
Mailing Address - State:WA
Mailing Address - Zip Code:98022-2549
Mailing Address - Country:US
Mailing Address - Phone:253-569-1039
Mailing Address - Fax:360-825-7506
Practice Address - Street 1:860 COLE ST
Practice Address - Street 2:
Practice Address - City:ENUMCLAW
Practice Address - State:WA
Practice Address - Zip Code:98022-2549
Practice Address - Country:US
Practice Address - Phone:253-569-1039
Practice Address - Fax:360-825-7506
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00014161225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist