Healthcare Provider Details

I. General information

NPI: 1831017425
Provider Name (Legal Business Name): JENNIFER WEBSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3561 NW ANDERSON HILL RD
SILVERDALE WA
98383-9130
US

IV. Provider business mailing address

3561 NW ANDERSON HILL RD
SILVERDALE WA
98383-9130
US

V. Phone/Fax

Practice location:
  • Phone: 360-692-4264
  • Fax:
Mailing address:
  • Phone: 360-692-4264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASS.MA.70150138
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: