Provider Demographics
NPI:1558767434
Name:ALEXANDER GALLIER
Entity Type:Organization
Organization Name:ALEXANDER GALLIER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:L
Authorized Official - Last Name:GALLIER
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:253-820-5901
Mailing Address - Street 1:8612 43RD ST W
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-7508
Mailing Address - Country:US
Mailing Address - Phone:253-820-5901
Mailing Address - Fax:
Practice Address - Street 1:8612 43RD ST W
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-7508
Practice Address - Country:US
Practice Address - Phone:253-820-5901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60126562172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Single Specialty