Individual provider · Type 1 NPI
Becky Waltz, LMP
Specialist · Edmonds, WA
NPI number
1194146647
Active
Practice location
8401 Main St
Edmonds, WA 98026-6919
Mailing address
9889 Central Valley Rd NW
Bremerton, WA 98311-9131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA60407123 (WI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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- Serena LacourSpecialist Edmonds, WA NPI 1215063045
- Marisa Elaine Berglund, L.M.P.Specialist Edmonds, WA NPI 1285702233
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About NPI 1194146647
Becky Waltz, LMP's National Provider Identifier is 1194146647, issued on Dec 31, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Edmonds, WA. The record was last updated on Jan 6, 2014.