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General NPI Number Information
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NPI Number | 1003587148
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Entity Type | Organization
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Legal Business Name | BREATHE BETTER MYOFUNCTIONAL THERAPY, PLLC
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 115 CLEVELAND AVE SE
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City | OLYMPIA
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State | WA
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Zip | 98501-7718
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Country | US
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Telephone | 707-732-4494
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Fax | 360-352-2784
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Provider Business Mailing Address
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Address Line | 9906 HART RD SE
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City | OLYMPIA
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State | WA
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Zip | 98501-9739
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Country | US
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Telephone | 707-732-4494
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNELISE DENNING
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Credential | RDH, LMT, QOM
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Telephone | 707-732-4494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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