Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist |
NPI | 1013431337 |
---|---|
Provider Name | Catherine Alexa Batiquin |
First Address | Seattle, WA 98119-4325 |
Second Address | Seattle, WA 98119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2017 |
Last Update Date | 28/07/2017 |