Provider Demographics
NPI:1336714468
Name:FINCH, LYNN (LMT)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:FINCH
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:PO BOX 771
Mailing Address - Street 2:
Mailing Address - City:COULEE CITY
Mailing Address - State:WA
Mailing Address - Zip Code:99115-0771
Mailing Address - Country:US
Mailing Address - Phone:307-840-0428
Mailing Address - Fax:
Practice Address - Street 1:109 NE MAIN AVE
Practice Address - Street 2:
Practice Address - City:WILBUR
Practice Address - State:WA
Practice Address - Zip Code:99185
Practice Address - Country:US
Practice Address - Phone:509-647-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist