Provider Demographics
NPI:1609186980
Name:SCHLIESMAN, ANNA MICHELLE MAY (LMP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MICHELLE MAY
Last Name:SCHLIESMAN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MICHELLE MAY
Other - Last Name:HURLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:2817 146TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-9664
Mailing Address - Country:US
Mailing Address - Phone:253-275-8619
Mailing Address - Fax:
Practice Address - Street 1:324 182ND AVE E
Practice Address - Street 2:#B
Practice Address - City:LAKE TAPPS
Practice Address - State:WA
Practice Address - Zip Code:98391-9436
Practice Address - Country:US
Practice Address - Phone:253-275-8619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60179133172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist