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NPI Code Detail

MEDICARE: ALLYSHA DUNMIRE LMP

MEDICARE:   ALLYSHA  DUNMIRE  LMP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist60442133WA

General Provider Information

NPI Number : 1164847646
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLYSHA DUNMIRE LMP
Provider Business Mailing Address
First Line : 200 BETHEL RD
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366
Country : US
Telephone Number : 360-876-4171
Fax Number :
Provider Business Practice Location Address
First Line : 200 BETHEL AVE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-5216
Country : US
Telephone Number : 360-876-4171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2014
Last Update Date : 02/20/2014

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Directions to “ ALLYSHA DUNMIRE LMP” Practice Location

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