Provider Demographics
NPI:1023679321
Name:SCHMELING, FORREST LEVI (LMP)
Entity type:Individual
Prefix:
First Name:FORREST
Middle Name:LEVI
Last Name:SCHMELING
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13003 SE KENT KANGLEY RD STE 110
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-7919
Mailing Address - Country:US
Mailing Address - Phone:253-638-2424
Mailing Address - Fax:253-639-5115
Practice Address - Street 1:13003 SE KENT KANGLEY RD STE 110
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-7919
Practice Address - Country:US
Practice Address - Phone:253-638-2424
Practice Address - Fax:253-639-5115
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60974573225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist