Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA60225627 | WA |
NPI | 1003197013 |
---|---|
Provider Name | Katharine Michela Baker |
First Address | Seattle, WA 98103-8526 |
Second Address | Bellevue, WA 98008-2460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2011 |
Last Update Date | 24/01/2013 |