Provider Demographics
NPI:1104041417
Name:TRAINOR, JUDI (PT, MA)
Entity Type:Individual
Prefix:MS
First Name:JUDI
Middle Name:
Last Name:TRAINOR
Suffix:
Gender:F
Credentials:PT, MA
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:
Other - Last Name:VANDER MOLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:514 N 75TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4746
Mailing Address - Country:US
Mailing Address - Phone:206-781-1220
Mailing Address - Fax:
Practice Address - Street 1:19401 40TH AVE W
Practice Address - Street 2:SUITE 330
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4612
Practice Address - Country:US
Practice Address - Phone:425-670-9987
Practice Address - Fax:425-744-7233
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00002657173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine