Provider Demographics
NPI:1205388709
Name:KATHLEEN PRATT ND LLC
Entity Type:Organization
Organization Name:KATHLEEN PRATT ND LLC
Other - Org Name:BIRCH TREE NATUROPATHIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:425-270-7527
Mailing Address - Street 1:4208 LEARY WAY NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4535
Mailing Address - Country:US
Mailing Address - Phone:425-270-7527
Mailing Address - Fax:206-770-6294
Practice Address - Street 1:4208 LEARY WAY NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4535
Practice Address - Country:US
Practice Address - Phone:425-270-7527
Practice Address - Fax:206-770-6294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001158261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service