Borgstrom, Kathleen G
Borgstrom, Kathleen G is an individual health care provider with primary practice located at 21157 State Route 410 E , Bonney Lake WA 98391-8457. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Borgstrom, Kathleen G can be contacted via phone (253) 862-8590.Contact Information
Primary practice address
21157 State Route 410 E
Bonney Lake WA 98391-8457
Phone: (253) 862-8590
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00017503 | Washington |
Profile Details
| NPI number | 1750555801 |
|---|---|
| LBN Legal business name | Borgstrom, Kathleen G |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2008 |
| Last updated | Apr 19th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750555801 | NPPES |
| Washington | Other | 167869 | LABOR AND INDUSTRIES |
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