Provider Demographics
NPI:1548652902
Name:FLUHR, GWEN MARIE (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:GWEN
Middle Name:MARIE
Last Name:FLUHR
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-8027
Mailing Address - Country:US
Mailing Address - Phone:360-961-8890
Mailing Address - Fax:
Practice Address - Street 1:1224 HARRIS AVE STE 108
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7152
Practice Address - Country:US
Practice Address - Phone:360-961-8890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-23
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60516667225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist