Provider Demographics
NPI:1730304999
Name:NEUMAN, VALERIE M (LMP)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:M
Last Name:NEUMAN
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 1:23206 SE 380TH ST
Mailing Address - Street 2:
Mailing Address - City:ENUMCLAW
Mailing Address - State:WA
Mailing Address - Zip Code:98022-8976
Mailing Address - Country:US
Mailing Address - Phone:360-802-3874
Mailing Address - Fax:
Practice Address - Street 1:324 182ND AVE E UNIT B
Practice Address - Street 2:
Practice Address - City:LAKE TAPPS
Practice Address - State:WA
Practice Address - Zip Code:98391-9436
Practice Address - Country:US
Practice Address - Phone:253-862-3929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00010212225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist