Provider Demographics
NPI:1972878171
Name:HSIEH, LIN (LMP)
Entity Type:Individual
Prefix:
First Name:LIN
Middle Name:
Last Name:HSIEH
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 1:2604 FARMER LN SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-6248
Mailing Address - Country:US
Mailing Address - Phone:360-584-0054
Mailing Address - Fax:360-352-3145
Practice Address - Street 1:2604 FARMER LN SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-6248
Practice Address - Country:US
Practice Address - Phone:360-584-0054
Practice Address - Fax:360-352-3145
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-20
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60273556225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist