Provider Demographics
NPI:1598887051
Name:FIRTH, DAWN M (LMP)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:M
Last Name:FIRTH
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 1:1617 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-4301
Mailing Address - Country:US
Mailing Address - Phone:360-659-6241
Mailing Address - Fax:360-659-3918
Practice Address - Street 1:1617 GROVE ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-4301
Practice Address - Country:US
Practice Address - Phone:360-659-6241
Practice Address - Fax:360-659-3918
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0031418OtherL & I