Provider Demographics
NPI:1275939449
Name:CONNER, DAPHNE S (LMP)
Entity Type:Individual
Prefix:MS
First Name:DAPHNE
Middle Name:S
Last Name:CONNER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
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Mailing Address - Street 1:14326 GREENWOOD AVE N
Mailing Address - Street 2:DAPHNE CONNER - ESSENTIAL CARE MASSAGE
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-6813
Mailing Address - Country:US
Mailing Address - Phone:206-440-8702
Mailing Address - Fax:206-440-2661
Practice Address - Street 1:14326 GREENWOOD AVE N
Practice Address - Street 2:DAPHNE CONNER ESSENTIAL CARE MASSAGE
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-6813
Practice Address - Country:US
Practice Address - Phone:206-440-8702
Practice Address - Fax:206-440-2661
Is Sole Proprietor?:No
Enumeration Date:2014-11-14
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAWA00012418225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist