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NPI Code Detail

MEDICARE: MS. DENISE ANN ALBERT LMP

MEDICARE: MS. DENISE ANN ALBERT 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
1172M00000XMechanotherapistMA13697WA

General Provider Information

NPI Number : 1215201603
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DENISE ANN ALBERT LMP
Provider Business Mailing Address
First Line : 1010 S 336TH ST STE 102
Second Line :
City : FEDERAL WAY
State : WA
Zip : 98003-7355
Country : US
Telephone Number : 253-838-7300
Fax Number : 253-838-7300
Provider Business Practice Location Address
First Line : 1010 S 336TH ST STE 102
Second Line :
City : FEDERAL WAY
State : WA
Zip : 98003-7355
Country : US
Telephone Number : 253-838-7300
Fax Number : 253-838-7300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2012
Last Update Date : 03/01/2012

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Directions to “ MS. DENISE ANN ALBERT LMP” Practice Location

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