Healthcare Provider Details

I. General information

NPI: 1215844576
Provider Name (Legal Business Name): JULIANNA MAY LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 NE 112TH AVE
VANCOUVER WA
98684-5115
US

IV. Provider business mailing address

3200 NE 87TH AVE
VANCOUVER WA
98662-6833
US

V. Phone/Fax

Practice location:
  • Phone: 360-892-2226
  • Fax:
Mailing address:
  • Phone: 509-595-5447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number61645795
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: