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NPI Code Detail

MEDICARE: MS. ANNETTE E BERGET LMP

MEDICARE: MS. ANNETTE E BERGET 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 TherapistMA00010139WA

General Provider Information

NPI Number : 1265580443
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNETTE E BERGET LMP
Provider Business Mailing Address
First Line : 10016 MYERS WAY S
Second Line :
City : SEATTLE
State : WA
Zip : 98168-1356
Country : US
Telephone Number : 206-910-4825
Fax Number : 206-260-8822
Provider Business Practice Location Address
First Line : 10016 MYERS WAY S
Second Line :
City : SEATTLE
State : WA
Zip : 98168-1356
Country : US
Telephone Number : 206-910-4825
Fax Number : 206-260-8822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2007
Last Update Date : 11/17/2021

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Directions to “ MS. ANNETTE E BERGET LMP” Practice Location

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