Provider Demographics
NPI:1942463484
Name:ADAMS, ANITA L (LMP)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:L
Last Name:ADAMS
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 1:13305 W SUNNYVALE DR
Mailing Address - Street 2:
Mailing Address - City:NINE MILE FALLS
Mailing Address - State:WA
Mailing Address - Zip Code:99026-9380
Mailing Address - Country:US
Mailing Address - Phone:509-464-1072
Mailing Address - Fax:
Practice Address - Street 1:13305 W SUNNYVALE DR
Practice Address - Street 2:
Practice Address - City:NINE MILE FALLS
Practice Address - State:WA
Practice Address - Zip Code:99026-9380
Practice Address - Country:US
Practice Address - Phone:509-464-1072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA555787-08173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist