Provider Demographics
NPI:1588732184
Name:JONES, BILLIE RENE (LMP)
Entity type:Individual
Prefix:MS
First Name:BILLIE
Middle Name:RENE
Last Name:JONES
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 ALDER AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-1401
Mailing Address - Country:US
Mailing Address - Phone:253-306-1840
Mailing Address - Fax:360-893-5314
Practice Address - Street 1:920 ALDER AVE STE 207
Practice Address - Street 2:
Practice Address - City:SUMNER
Practice Address - State:WA
Practice Address - Zip Code:98390-1401
Practice Address - Country:US
Practice Address - Phone:253-306-1840
Practice Address - Fax:360-893-5314
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00013607225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist