Provider Demographics
NPI:1063812790
Name:RINGER, BRIANNE ALISA (LMT)
Entity type:Individual
Prefix:
First Name:BRIANNE
Middle Name:ALISA
Last Name:RINGER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 S 48TH AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3614
Mailing Address - Country:US
Mailing Address - Phone:509-965-9820
Mailing Address - Fax:509-965-9822
Practice Address - Street 1:609 S 48TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3614
Practice Address - Country:US
Practice Address - Phone:509-965-9820
Practice Address - Fax:509-965-9822
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60493555225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist