Provider Demographics
NPI:1831858331
Name:BRIGHT, ROBYN ANN (LMT)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:ANN
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:ANN
Other - Last Name:BRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:13306 NE 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-2640
Mailing Address - Country:US
Mailing Address - Phone:360-597-6312
Mailing Address - Fax:
Practice Address - Street 1:13306 NE 11TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-2640
Practice Address - Country:US
Practice Address - Phone:360-597-6312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-12
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61177310225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist