Provider Demographics
NPI:1154682524
Name:DYE, AMY LEE (LMP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LEE
Last Name:DYE
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:LEE
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:9626 54TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-5215
Mailing Address - Country:US
Mailing Address - Phone:425-344-7415
Mailing Address - Fax:360-653-5021
Practice Address - Street 1:9626 54TH AVE NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-5215
Practice Address - Country:US
Practice Address - Phone:425-344-7415
Practice Address - Fax:360-653-5021
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60285016225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist