Provider Demographics
NPI:1043943475
Name:PERCY, MEGAN (LMT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:PERCY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 INDIAN MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-7624
Mailing Address - Country:US
Mailing Address - Phone:425-220-4803
Mailing Address - Fax:
Practice Address - Street 1:1405 FRASER ST UNIT 101
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-5886
Practice Address - Country:US
Practice Address - Phone:425-220-4803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-04
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61314372225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist