Lucker, Miranda Blythe

Lucker, Miranda Blythe is an sole proprietor health care provider with primary practice located at 5220 Parker Rd E , Sumner WA 98390-2715. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Lucker, Miranda Blythe can be contacted via phone (206) 931-4782.

Contact Information

Primary practice address
5220 Parker Rd E Sumner WA 98390-2715
Phone: (206) 931-4782
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA60255471 Washington

Profile Details

NPI number 1013398163
LBN Legal business name Lucker, Miranda Blythe
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2015
Last updated Mar 30th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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