Healthcare Provider Details

I. General information

NPI: 1629276365
Provider Name (Legal Business Name): ALAINA K ZURFLUH LMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23801 E APPLEWAY AVE SUITE 110
LIBERTY LAKE WA
99019-9687
US

IV. Provider business mailing address

23801 E APPLEWAY AVE SUITE 110
LIBERTY LAKE WA
99019-9687
US

V. Phone/Fax

Practice location:
  • Phone: 509-924-2788
  • Fax:
Mailing address:
  • Phone: 509-924-2788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00019872
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: