Provider Demographics
NPI:1427293984
Name:TOWNSEND, ALECIAMARIE NICOLE (LMP)
Entity type:Individual
Prefix:
First Name:ALECIAMARIE
Middle Name:NICOLE
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:ALECIAMARIE
Other - Middle Name:NICOLE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:33427 PACIFIC HWY. S. #C-1
Mailing Address - Street 2:
Mailing Address - City:FEDERAL
Mailing Address - State:WA
Mailing Address - Zip Code:98003
Mailing Address - Country:US
Mailing Address - Phone:253-874-2498
Mailing Address - Fax:
Practice Address - Street 1:33427 PACIFIC HWY. S. #C-1
Practice Address - Street 2:
Practice Address - City:FEDERAL
Practice Address - State:WA
Practice Address - Zip Code:98003
Practice Address - Country:US
Practice Address - Phone:253-874-2498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60044932225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist