Provider Demographics
NPI:1588809925
Name:HOUSER, CHELSEA (LMP)
Entity Type:Individual
Prefix:MISS
First Name:CHELSEA
Middle Name:
Last Name:HOUSER
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 1:3002 N 14TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-6404
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4001 N 26TH ST
Practice Address - Street 2:B
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98407-5252
Practice Address - Country:US
Practice Address - Phone:253-678-4277
Practice Address - Fax:253-678-4278
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60002490225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist