Healthcare Provider Details

I. General information

NPI: 1538298484
Provider Name (Legal Business Name): SHEILA F HARRIS LMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 MISSION AVE
CASHMERE WA
98815-1609
US

IV. Provider business mailing address

10675 FOX RD
LEAVENWORTH WA
98826-9180
US

V. Phone/Fax

Practice location:
  • Phone: 509-670-2035
  • Fax:
Mailing address:
  • Phone: 509-670-2035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00010952
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC60622947
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: