Provider Demographics
NPI:1972633428
Name:WILKINSON, BRITTNEY K (LMP)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:K
Last Name:WILKINSON
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 1:9206 220TH STREET CT E
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98338-9197
Mailing Address - Country:US
Mailing Address - Phone:253-846-6266
Mailing Address - Fax:253-845-5753
Practice Address - Street 1:11108 WOODLAND AVE E STE A
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-5893
Practice Address - Country:US
Practice Address - Phone:253-845-5358
Practice Address - Fax:253-845-5753
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00018731225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0217187OtherLABOR & INDUSTRIES
WAMA00018731OtherSTATE MASSAGE LICENSE