Provider Demographics
NPI:1699310623
Name:PLATT, HONGMEI (LMP)
Entity type:Individual
Prefix:
First Name:HONGMEI
Middle Name:
Last Name:PLATT
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 1:318 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SELAH
Mailing Address - State:WA
Mailing Address - Zip Code:98942-1339
Mailing Address - Country:US
Mailing Address - Phone:509-697-4123
Mailing Address - Fax:509-697-4423
Practice Address - Street 1:318 S 1ST ST
Practice Address - Street 2:
Practice Address - City:SELAH
Practice Address - State:WA
Practice Address - Zip Code:98942-1339
Practice Address - Country:US
Practice Address - Phone:509-697-4123
Practice Address - Fax:509-697-4423
Is Sole Proprietor?:No
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60688845225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMA60688845OtherMASSAGE THERAPIST LICENSE