MEDICARE: GATEWAY THERAPEUTIC MASSAGE

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
1	305R00000X	Preferred Provider Organization	AC 00002207	WA

General Provider Information

NPI Number	:	1255659066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GATEWAY THERAPEUTIC MASSAGE

Provider Business Mailing Address
First Line	:	118 N LIBERTY ST
Second Line	:	STE A
City	:	PORT ANGELES
State	:	WA
Zip	:	98362-4322
Country	:	US
Telephone Number	:	360-457-7374
Fax Number	:	360-457-8717

Provider Business Practice Location Address
First Line	:	118 N LIBERTY ST
Second Line	:	STE A
City	:	PORT ANGELES
State	:	WA
Zip	:	98362-4322
Country	:	US
Telephone Number	:	360-457-7374
Fax Number	:	360-457-8717

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. JULIA ANDRE'A ANDERSON
Credential	:	LMP
Telephone Number	:	360-457-7374

Provider Enumeration Date	:	05/04/2010
Last Update Date	:	05/04/2010

Similar Medicare Providers

1194050732 — JULIA ANDREA ANDERSON LMP,CPT
Practice Location Address:

118 N LIBERTY ST , SUITE A & D
PORT ANGELES, WA
98362-4322

Practice Phone: 360-457-7374
Practice Fax:

1043546054 — MOLLY A HERRING L.M.P.
Practice Location Address:

118 N LIBERTY ST
PORT ANGELES, WA
98362-4322

Practice Phone: 360-457-7379
Practice Fax:

1952709941 — CHERYL DAWN KOENIG LMP
Practice Location Address:

118 N LIBERTY ST , APT A
PORT ANGELES, WA
98362-4322

Practice Phone: 360-457-7379
Practice Fax: 360-457-8717

1629593397 — LORIN GREEN LMP
Practice Location Address:

118 N LIBERTY ST APT A
PORT ANGELES, WA
98362-4322

Practice Phone: 360-457-7379
Practice Fax:

1255492989 — DR. TIMOTHY ANDREW TEHAN PH.D.
Practice Location Address:

9521 INDALE DR
NEW PORT RICHEY, FL
34654-4322

Practice Phone: 727-862-7170
Practice Fax: 727-862-3870

1003105008 — CHRISTINA RAFFA CLEMENTS
Practice Location Address:

5436 NW MOORHEN TRL
PORT ST LUCIE, FL
34986-4322

Practice Phone: 772-924-4707
Practice Fax:

Directions to “GATEWAY THERAPEUTIC MASSAGE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.