Provider Demographics
NPI:1144674086
Name:MAY, BARBARA IRENE (LE, LMT, MMT, NMT)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:IRENE
Last Name:MAY
Suffix:
Gender:F
Credentials:LE, LMT, MMT, NMT
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:IRENE
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3200 NE 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6833
Mailing Address - Country:US
Mailing Address - Phone:509-595-5445
Mailing Address - Fax:
Practice Address - Street 1:1508 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3434
Practice Address - Country:US
Practice Address - Phone:360-635-3477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-18
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61351686225700000X
CA38163225700000X
FL59630225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist