Provider Demographics
NPI:1952856239
Name:HAYMAN, DEBORAH SUSAN (LMP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:SUSAN
Last Name:HAYMAN
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 1:21213 161ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-9476
Mailing Address - Country:US
Mailing Address - Phone:206-618-7466
Mailing Address - Fax:
Practice Address - Street 1:21213 161ST AVE SE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-9476
Practice Address - Country:US
Practice Address - Phone:206-618-7466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60681464225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist