Susan L Pearson, LMP is a
Massage Therapist based in Clearlake, Washington. Susan L Pearson is licensed to practice in Washington (license number MA000-25403) and her current practice location is
12263 N. Mill Street, Clearlake, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 856-1528.
NPI number for Susan L Pearson is 1417195660 and her current mailing address is P.o Box 123, Clearlake, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417195660.
Healthcare Provider's Profile
| Full Name | Susan L Pearson |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
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| Location | 12263 N. Mill Street, Clearlake, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417195660
- Provider Enumeration Date: 01/27/2009
- Last Update Date: 01/27/2009
Medical Identifiers
Medical identifiers for Susan L Pearson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417195660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | MA000-25403 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan L Pearson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Susan L Pearson, LMP P.o Box 123, Clearlake, WA 98235-0123 Ph: (360) 856-1528 | Susan L Pearson, LMP 12263 N. Mill Street, Clearlake, WA 98284 Ph: (360) 856-1528 |
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