Provider Demographics
NPI:1851447155
Name:MARSH, JOYCE ANNE
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:ANNE
Last Name:MARSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 95TH DR NE STE 105
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-7976
Mailing Address - Country:US
Mailing Address - Phone:425-334-9137
Mailing Address - Fax:425-377-9487
Practice Address - Street 1:25 95TH DR NE STE 105
Practice Address - Street 2:
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-7976
Practice Address - Country:US
Practice Address - Phone:425-334-9137
Practice Address - Fax:425-377-9487
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA11797225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA202256201958OtherPREMERA
WAMA2472OtherREGENCE