Healthcare Provider Details

I. General information

NPI: 1629797048
Provider Name (Legal Business Name): ANNA MARIE UREN LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 08/29/2022
Certification Date: 07/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17615 SE 272ND ST STE 104
COVINGTON WA
98042-4957
US

IV. Provider business mailing address

17615 SE 272ND ST STE 104
COVINGTON WA
98042-4957
US

V. Phone/Fax

Practice location:
  • Phone: 206-755-1758
  • Fax: 253-883-2686
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: