Provider Demographics
NPI:1992823140
Name:TOPALANCHIK, MARIBETH (LMP)
Entity Type:Individual
Prefix:MS
First Name:MARIBETH
Middle Name:
Last Name:TOPALANCHIK
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 1:115 BURNETT AVE S STE B
Mailing Address - Street 2:MASSAGE FOR HEALTHY LIVING
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-2111
Mailing Address - Country:US
Mailing Address - Phone:425-785-0904
Mailing Address - Fax:206-333-1564
Practice Address - Street 1:115 BURNETT AVE S STE B
Practice Address - Street 2:MASSAGE FOR HEALTHY LIVING
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-2111
Practice Address - Country:US
Practice Address - Phone:425-785-0904
Practice Address - Fax:206-333-1564
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00014135174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist