Provider Demographics
NPI:1093955387
Name:TEMPLETON, KRISTI (LMP)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:TEMPLETON
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4519 1/2 UNIVERSITY WAY NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-4515
Mailing Address - Country:US
Mailing Address - Phone:206-632-5074
Mailing Address - Fax:
Practice Address - Street 1:6521 23RD AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-7031
Practice Address - Country:US
Practice Address - Phone:206-526-2679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00003288172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist