Provider Demographics
NPI:1558920066
Name:LEHMAN, EMILY (LMT)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:99114-2504
Mailing Address - Country:US
Mailing Address - Phone:509-684-1420
Mailing Address - Fax:509-684-8263
Practice Address - Street 1:524 S MAIN ST
Practice Address - Street 2:
Practice Address - City:COLVILLE
Practice Address - State:WA
Practice Address - Zip Code:99114-2504
Practice Address - Country:US
Practice Address - Phone:509-684-1420
Practice Address - Fax:509-684-8263
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-08
Last Update Date:2019-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60940857225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WANPI1073913885OtherCMS NPI