Nancy Kristine Haller
Massage Therapist Sports Medicine Doctor
6625 S 190th St
Kent
, Washington 98032-2115
Nancy Kristine Haller
Massage Therapist Sports Medicine Doctor
6625 S 190th St
Kent
, Washington 98032-2115
(425) 282-0404
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About
Features
Specialties
- Sports Medicine Doctor
- Massage Therapist
Languages spoken
- English
Location
First Address
- Nancy Kristine Haller
- 6625 S 190th St
- Kent, WA
- Zip : 98032-2115
- Fax : (425) 282-0404
- Phone : (425) 282-0406
Second Address
- Nancy Kristine Haller
- 6625 S 190th St
- Kent, WA
- Zip : 98032-2115
- Fax : (425) 282-0404
- Phone : (425) 282-0406
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204C00000X | Sports Medicine Doctor | GCFP1653 | OR |
| Y | 225700000X | Massage Therapist | MA00008877 | WA |
| N | 225700000X | Massage Therapist | NCMMT0019 | NC |
National Provider Identifier
| NPI | 1649358573 |
|---|---|
| Provider Name | Nancy Kristine Haller |
| First Address | Kent, WA 98032-2115 |
| Second Address | Kent, WA 98032-2115 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 06/10/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0005102596 | AETNA (01) | |
| 0151472 | LABOR AND INDUSTRIES (01) | |
| 146525495 | PACIFICCARE (01) | |
| 341120341120 | LIFEWISE (01) | |
| 341120341120 | PREMERA (01) | |
| 533829001 | GROUP HEALTH COOPERATIVE (01) | |
| 912120516 | AMERICAN WHOLEHEALTH NETW (01) | |
| 912120516 | BLUE CROSS BLUE SHIELD (01) | |
| 912120516 | FIRST CHOICE (01) | |
| 912120516 | GUARDIAN (01) | |
| 912120516 | HMA (01) | |
| 912120516 | KPS (01) | |
| 912120516 | UNITED HEALTHCARE (01) | |
| 91212051600 | UNIFORM (01) | |
| HA4253 | REGENCE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.