Provider Demographics
NPI:1992869333
Name:NEWTON-RHODES, LAURA F (LMP)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:F
Last Name:NEWTON-RHODES
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:F
Other - Last Name:BECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:181 S 333RD ST STE 250
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-7363
Mailing Address - Country:US
Mailing Address - Phone:253-874-2998
Mailing Address - Fax:253-874-3307
Practice Address - Street 1:1010 S 336TH ST
Practice Address - Street 2:SUITE 112
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6385
Practice Address - Country:US
Practice Address - Phone:253-661-0041
Practice Address - Fax:253-661-0772
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00018465225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist