MEDICARE: MISS VALERIE ALEXIS ORTIZ LMT

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	MA61676973	WA

General Provider Information

NPI Number	:	1740083971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS VALERIE ALEXIS ORTIZ LMT

Provider Business Mailing Address
First Line	:	PO BOX 4665
Second Line	:
City	:	WEST RICHLAND
State	:	WA
Zip	:	99353-4011
Country	:	US
Telephone Number	:	509-396-3980
Fax Number	:	509-396-3981

Provider Business Practice Location Address
First Line	:	PO BOX 4665
Second Line	:
City	:	WEST RICHLAND
State	:	WA
Zip	:	99353-4011
Country	:	US
Telephone Number	:	509-396-3980
Fax Number	:	509-396-3981

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

Provider Enumeration Date	:	03/31/2025
Last Update Date	:	03/31/2025

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