Provider Demographics
NPI:1194013979
Name:CHRISTENSON, JULIA RUTH (LMT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:RUTH
Last Name:CHRISTENSON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4344 32ND AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-1305
Mailing Address - Country:US
Mailing Address - Phone:206-743-8098
Mailing Address - Fax:
Practice Address - Street 1:2634 THORNDYKE AVE W
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98199-4510
Practice Address - Country:US
Practice Address - Phone:206-743-8098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-14
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60221955225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist