Provider Demographics
NPI:1790902161
Name:WEBB, RHYS ALLEN (LMP)
Entity Type:Individual
Prefix:MR
First Name:RHYS
Middle Name:ALLEN
Last Name:WEBB
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 YOUNG ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3612
Mailing Address - Country:US
Mailing Address - Phone:360-527-2712
Mailing Address - Fax:
Practice Address - Street 1:511 E MAGNOLIA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4529
Practice Address - Country:US
Practice Address - Phone:360-752-0736
Practice Address - Fax:360-671-4656
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00016465225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist