Provider Demographics
NPI:1023755477
Name:MARCHANT, AIMEE ANNE (LMT)
Entity type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:ANNE
Last Name:MARCHANT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10420 46TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98513-9202
Mailing Address - Country:US
Mailing Address - Phone:425-283-6596
Mailing Address - Fax:
Practice Address - Street 1:1010 HOMANN DR SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-2423
Practice Address - Country:US
Practice Address - Phone:360-972-2995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00019896225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist