Provider Demographics
NPI:1679821524
Name:MERZ, DENISE MICHELLE (LMP)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:MICHELLE
Last Name:MERZ
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 1:17914 ENTIAT RIVER ROAD
Mailing Address - Street 2:
Mailing Address - City:ENTIAT
Mailing Address - State:WA
Mailing Address - Zip Code:98822-9702
Mailing Address - Country:US
Mailing Address - Phone:509-784-6666
Mailing Address - Fax:
Practice Address - Street 1:1213 NORTH WENATCHEE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-1595
Practice Address - Country:US
Practice Address - Phone:509-663-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60301129225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist