Provider Demographics
NPI:1760632582
Name:ADAMS, LAURA E (LMT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:E
Last Name:ADAMS
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 1:1085 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-4232
Mailing Address - Country:US
Mailing Address - Phone:425-760-2372
Mailing Address - Fax:360-363-4168
Practice Address - Street 1:1085 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-4232
Practice Address - Country:US
Practice Address - Phone:425-760-2372
Practice Address - Fax:360-363-4168
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00012277208100000X, 247200000X, 225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other