MEDICARE: MS. CAROLE ANNE RASPAOLO LMP, BSNHS

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	225700000X	Massage Therapist	MA60242176	WA

General Provider Information

NPI Number	:	1275880239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROLE ANNE RASPAOLO LMP, BSNHS

Provider Business Mailing Address
First Line	:	1902 E SOUTH RIVERTON AVE
Second Line	:	APT 212
City	:	SPOKANE
State	:	WA
Zip	:	99207-5129
Country	:	US
Telephone Number	:	509-389-8900
Fax Number	:

Provider Business Practice Location Address
First Line	:	670 RIVERSIDE DR.
Second Line	:
City	:	OMAK
State	:	WA
Zip	:	98841-1438
Country	:	US
Telephone Number	:	509-846-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2012
Last Update Date	:	08/09/2012

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