Phoenix, Khore D

Phoenix, Khore D is an sole proprietor health care provider with primary practice located at 2376 Main St Suite 3, Ferndale WA 98248-8605. 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. Phoenix, Khore D can be contacted via phone (360) 384-2900.

Contact Information

Primary practice address
2376 Main St Suite 3 Ferndale WA 98248-8605
Fax: (360) 384-2955
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA000098105 Washington

Profile Details

NPI number 1831383736
LBN Legal business name Phoenix, Khore D
Credentials BS, LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2007
Last updated Dec 23rd, 2011 - about 13 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.

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