Healthcare Provider Details

I. General information

NPI: 1154236552
Provider Name (Legal Business Name): EVELYN ROSE COFFEY LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 FRASER ST STE E101
BELLINGHAM WA
98229-5844
US

IV. Provider business mailing address

1118 HIGH ST # 201
BELLINGHAM WA
98225-5106
US

V. Phone/Fax

Practice location:
  • Phone: 360-441-2526
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number70161997
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: