Provider Demographics
NPI:1215494232
Name:DENNING, ANNELISE (RDH, LMT)
Entity type:Individual
Prefix:
First Name:ANNELISE
Middle Name:
Last Name:DENNING
Suffix:
Gender:
Credentials:RDH, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 CLEVELAND AVE SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-7718
Mailing Address - Country:US
Mailing Address - Phone:707-732-4494
Mailing Address - Fax:360-352-2784
Practice Address - Street 1:115 CLEVELAND AVE SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-7718
Practice Address - Country:US
Practice Address - Phone:707-732-4494
Practice Address - Fax:360-352-2784
Is Sole Proprietor?:No
Enumeration Date:2019-02-26
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH00005961124Q00000X
174400000X
WAMA61632689225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No124Q00000XDental ProvidersDental Hygienist
No174400000XOther Service ProvidersSpecialist