=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134400294
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BHRIGHA RL GETZ LMT/LMP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/02/2011
-----------------------------------------------------
Last Update Date | 12/22/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 800 FRANKLIN ST SUITE 200
-----------------------------------------------------
City | VANCOUVER
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98660-3355
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-263-2600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 654
-----------------------------------------------------
City | LA CENTER
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98629-0654
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-263-2600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | MA25141
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------