Healthcare Provider Details

I. General information

NPI: 1861313868
Provider Name (Legal Business Name): RYANNE M JANSMA LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 KING ST STE 3
BELLINGHAM WA
98229-6263
US

IV. Provider business mailing address

1178 E GROVER ST APT 203
LYNDEN WA
98264-9340
US

V. Phone/Fax

Practice location:
  • Phone: 360-306-8073
  • Fax: 360-783-6761
Mailing address:
  • Phone: 360-739-6244
  • Fax: 360-739-6244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASS.MA.70155967
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: