Nielson, Kathleen Diane
Nielson, Kathleen Diane is an sole proprietor health care provider with primary practice located at 20200 37Th Ave Ne , Lake Forest Park WA 98155-1657. 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. Nielson, Kathleen Diane can be contacted via phone (206) 365-2350.Contact Information
Primary practice address
20200 37Th Ave Ne
Lake Forest Park WA 98155-1657
Phone: (206) 365-2350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA5015 | Washington |
Profile Details
| NPI number | 1073689980 |
|---|---|
| LBN Legal business name | Nielson, Kathleen Diane |
| Credentials | LICENSED MASSAGE PRA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1073689980 | NPPES |
| Washington | Other | 63212 | LABOR & INDUSTRIES |
| Washington | Other | 5829693 | LABOR & INDUSTRIES |
| Washington | Other | NI6014 | LABOR & INDUSTRIES |
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