Provider Demographics
NPI:1346746674
Name:HALM, VALERIE J (LMT)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:J
Last Name:HALM
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MRS
Other - First Name:VALERIE
Other - Middle Name:J
Other - Last Name:TEETER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:363 TORMEY LN NE STE 210
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-1957
Mailing Address - Country:US
Mailing Address - Phone:206-842-4929
Mailing Address - Fax:206-842-4920
Practice Address - Street 1:363 TORMEY LN NE STE 210
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-1957
Practice Address - Country:US
Practice Address - Phone:206-842-4929
Practice Address - Fax:206-842-4920
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60815633225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist