Provider Demographics
NPI:1225275449
Name:NGUYEN, THUAN VIET (LMP)
Entity Type:Individual
Prefix:MR
First Name:THUAN
Middle Name:VIET
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2807 MOUNT RAINIER DR S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-6227
Mailing Address - Country:US
Mailing Address - Phone:206-388-7183
Mailing Address - Fax:
Practice Address - Street 1:2807 MOUNT RAINIER DR S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-6227
Practice Address - Country:US
Practice Address - Phone:206-388-7183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-09
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 00022473225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMA00022473OtherSTATE OF WASHINGTON DEPARTMENT OF HEALTH
WA0219019OtherLABOR AND INDUSTRIES