Organization
TAMMY RICHERT, LMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY LOU RICHERT LMP (MASSAGE THERAPIST)
(360) 903-8742
Entity
Organization
Contact information
Practice address
1710 W MAIN ST STE 218, BATTLE GROUND, WA 98604-4318
(360) 903-8742
Mailing address
1710 W MAIN ST STE 218, BATTLE GROUND, WA 98604-4318
(360) 903-8742
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA00008409
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700839180
NPI TYPE 1
WA
Enumeration date
09/28/2011
Last updated
09/28/2011
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