Healthcare Provider Details

I. General information

NPI: 1487574109
Provider Name (Legal Business Name): MARREN BAYE HANNA LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 MULBERRY RD
BELLINGHAM WA
98225-7905
US

IV. Provider business mailing address

506 MULBERRY RD
BELLINGHAM WA
98225-7905
US

V. Phone/Fax

Practice location:
  • Phone: 360-927-5592
  • Fax:
Mailing address:
  • Phone: 360-927-5592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASS.MA.70039224
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: