Provider Demographics
NPI:1831860253
Name:FRISK, BRITTANY ROSE (LMT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ROSE
Last Name:FRISK
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 1:14911 17TH PL W
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-8795
Mailing Address - Country:US
Mailing Address - Phone:425-931-4157
Mailing Address - Fax:
Practice Address - Street 1:22833 BOTHELL EVERETT HWY STE 202
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-9368
Practice Address - Country:US
Practice Address - Phone:425-949-5815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist