Provider Demographics
NPI:1952562100
Name:ROWAN, BRITTANY LUANN (LMP)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LUANN
Last Name:ROWAN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14610 ADMIRALY WAY
Mailing Address - Street 2:APT J301
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087
Mailing Address - Country:US
Mailing Address - Phone:485-931-4201
Mailing Address - Fax:
Practice Address - Street 1:6603 220TH ST SW
Practice Address - Street 2:SUITE 1C
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043
Practice Address - Country:US
Practice Address - Phone:425-776-1056
Practice Address - Fax:485-776-4357
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 00025225225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist