Provider Demographics
NPI:1225066871
Name:CLAIR, KATHLEEN SWEENEY (ATC)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:SWEENEY
Last Name:CLAIR
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 10TH AVE E APT B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-4387
Mailing Address - Country:US
Mailing Address - Phone:617-686-2047
Mailing Address - Fax:
Practice Address - Street 1:1112 10TH AVE E APT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-4387
Practice Address - Country:US
Practice Address - Phone:617-686-2047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer