Provider Demographics
NPI:1912441528
Name:WEPRIN, TORIE ALYSSA
Entity Type:Individual
Prefix:MS
First Name:TORIE
Middle Name:ALYSSA
Last Name:WEPRIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BELLWETHER WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-2961
Mailing Address - Country:US
Mailing Address - Phone:360-502-7548
Mailing Address - Fax:360-797-9647
Practice Address - Street 1:21 BELLWETHER WAY STE 101
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2961
Practice Address - Country:US
Practice Address - Phone:360-502-7548
Practice Address - Fax:360-797-9647
Is Sole Proprietor?:No
Enumeration Date:2016-12-16
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR22539225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist