Provider Demographics
NPI:1285022566
Name:NORTH, CATHERINE WEIGEL (LMP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:WEIGEL
Last Name:NORTH
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1422 NW 64TH ST
Mailing Address - Street 2:UNIT C
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2281
Mailing Address - Country:US
Mailing Address - Phone:206-913-9932
Mailing Address - Fax:
Practice Address - Street 1:3609 1ST AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4904
Practice Address - Country:US
Practice Address - Phone:206-913-9932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00021876225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist