Healthcare Provider Details

I. General information

NPI: 1477952232
Provider Name (Legal Business Name): GRETCHEN SCHUETTER LMP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2014
Last Update Date: 08/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4220 132ND ST SE STE 101
MILL CREEK WA
98012-8999
US

IV. Provider business mailing address

111 MARKET ST NE STE 108
OLYMPIA WA
98501-1008
US

V. Phone/Fax

Practice location:
  • Phone: 425-316-8046
  • Fax: 425-338-9637
Mailing address:
  • Phone: 360-754-7085
  • Fax: 360-754-3671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60042218
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: