Provider Demographics
NPI:1982243010
Name:MAIER, ANNETTE G (RN, LMT)
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:G
Last Name:MAIER
Suffix:
Gender:F
Credentials:RN, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14219 SMOKEY POINT BLVD BLDG 1
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98271-8906
Mailing Address - Country:US
Mailing Address - Phone:425-308-1384
Mailing Address - Fax:360-659-1385
Practice Address - Street 1:14219 SMOKEY POINT BLVD BLDG 1
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98271-8906
Practice Address - Country:US
Practice Address - Phone:425-308-1384
Practice Address - Fax:360-659-1385
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60981870225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist