Wanamaker, Kelly R
Wanamaker, Kelly R is an individual health care provider with primary practice located at 17651 1St Ave S Ste 101, Normandy Park WA 98148-2715. 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. Wanamaker, Kelly R can be contacted via phone (206) 241-3836.Contact Information
Primary practice address
17651 1St Ave S Ste 101
Normandy Park WA 98148-2715
Phone: (206) 241-3836
Fax: (206) 241-3967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00019960 | Washington |
Profile Details
| NPI number | 1679760136 |
|---|---|
| LBN Legal business name | Wanamaker, Kelly R |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2007 |
| Last updated | Sep 28th, 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 | 1679760136 | NPPES |
| Washington | Other | 0224172 | LABOR AND INDUSTRIES |
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