Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY JEAN TAHLEQUAH, LMP,COMP,CNMT,SI
Active Sole ProprietorSpecialist · KENT, WA
Registration Details
- NPI Number
- 1073679395
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 29, 2006 (19.338170362446 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MA00010308 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
27615 108TH AVE SEKENT, WA, 980308768Browse WA providers · Browse ZIP 98030
- Phone
- 2538502333
- Fax
- 2538507164
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in KENT, WA
| Name | Credential | NPI |
|---|---|---|
| TRACY GRAY | LMT, GCFP | 1609955327 |
| MISS PANTHAYA SHATHIRIS FLOWERS | LMP | 1114090347 |
| MRS. KRISTINE MARIE PROCTOR | LMP,MMP | 1588715957 |
| ERICA PHELPS | OT | 1811032824 |
| CATHLEEN MULLER | OT | 1912042995 |
| LINDA THOMPSON | PT | 1871638676 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.