Provider Demographics
NPI:1821360447
Name:MEUSEY, FELISHA R (LMP)
Entity Type:Individual
Prefix:MS
First Name:FELISHA
Middle Name:R
Last Name:MEUSEY
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 1:16731 NE 139TH PL
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-6970
Mailing Address - Country:US
Mailing Address - Phone:206-661-9683
Mailing Address - Fax:
Practice Address - Street 1:23515 NE NOVELTY HILL RD STE B-225
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-1996
Practice Address - Country:US
Practice Address - Phone:425-898-8000
Practice Address - Fax:425-898-8005
Is Sole Proprietor?:No
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60193063225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist