Provider Demographics
NPI:1851940936
Name:NOYES, ALEXIS (LMT)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:NOYES
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 1:1020 E 34TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98404-3105
Mailing Address - Country:US
Mailing Address - Phone:253-495-9698
Mailing Address - Fax:
Practice Address - Street 1:1020 E 34TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98404-3105
Practice Address - Country:US
Practice Address - Phone:253-495-9698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60953498225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMA92613OtherFLORIDA DEPARTMENT OF HEALTH
WAMA60953498OtherWASHINGTON DEPARTMENT OF HEALTH