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NPI Code Detail

MEDICARE: MRS. STEFANIE LEIGH ADAMS LMT

MEDICARE: MRS. STEFANIE LEIGH ADAMS LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA00012278WA

General Provider Information

NPI Number : 1174667752
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEFANIE LEIGH ADAMS LMT
Provider Business Mailing Address
First Line : 15103 NE 356TH ST
Second Line :
City : YACOLT
State : WA
Zip : 98675-4005
Country : US
Telephone Number : 360-798-0346
Fax Number : 564-221-4922
Provider Business Practice Location Address
First Line : 408 E MAIN ST
Second Line :
City : BATTLE GROUND
State : WA
Zip : 98604-8506
Country : US
Telephone Number : 360-993-0273
Fax Number : 360-694-9662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 04/02/2025

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