Provider Demographics
NPI:1558643692
Name:PARLEE, TONYA N (LMP)
Entity Type:Individual
Prefix:MS
First Name:TONYA
Middle Name:N
Last Name:PARLEE
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 1:840 N RHODEFER RD
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3528
Mailing Address - Country:US
Mailing Address - Phone:360-809-0419
Mailing Address - Fax:
Practice Address - Street 1:581 KEELER RD
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-8403
Practice Address - Country:US
Practice Address - Phone:360-809-0419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60246234225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist