Healthcare Provider Details

I. General information

NPI: 1447655873
Provider Name (Legal Business Name): ANGELEANA BUMPAS LMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2014
Last Update Date: 10/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 21ST AVE E
SEATTLE WA
98112-5319
US

IV. Provider business mailing address

316 21ST AVE E
SEATTLE WA
98112-5319
US

V. Phone/Fax

Practice location:
  • Phone: 206-795-3178
  • Fax:
Mailing address:
  • Phone: 206-795-3178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60503945
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: