Provider Demographics
NPI:1194331017
Name:MCGEE, ANGELA KAY (MA60718438)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:KAY
Last Name:MCGEE
Suffix:
Gender:F
Credentials:MA60718438
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6705 LAKE AVE SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-1309
Mailing Address - Country:US
Mailing Address - Phone:253-732-0076
Mailing Address - Fax:
Practice Address - Street 1:215 WILKES ST STE 104
Practice Address - Street 2:
Practice Address - City:STEILACOOM
Practice Address - State:WA
Practice Address - Zip Code:98388-2125
Practice Address - Country:US
Practice Address - Phone:253-248-7888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60718438225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty