Provider Demographics
NPI:1922435171
Name:ALAENA, PAULETTE (LMP)
Entity Type:Individual
Prefix:MS
First Name:PAULETTE
Middle Name:
Last Name:ALAENA
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:MS
Other - First Name:PAULETTE
Other - Middle Name:
Other - Last Name:ALAENA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMP
Mailing Address - Street 1:PO BOX 1065
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-1065
Mailing Address - Country:US
Mailing Address - Phone:360-894-3885
Mailing Address - Fax:
Practice Address - Street 1:5600 PACIFIC AVE SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-1258
Practice Address - Country:US
Practice Address - Phone:360-493-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00019342225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist