Provider Demographics
NPI:1982147385
Name:MONROE HEALING THERAPIES
Entity Type:Organization
Organization Name:MONROE HEALING THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MONROE
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:805-550-8568
Mailing Address - Street 1:112 OHIO ST
Mailing Address - Street 2:SUITE#208
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4543
Mailing Address - Country:US
Mailing Address - Phone:805-550-8568
Mailing Address - Fax:
Practice Address - Street 1:112 OHIO ST
Practice Address - Street 2:SUITE#208
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4543
Practice Address - Country:US
Practice Address - Phone:805-550-8568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-02
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60414784225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty