Provider Demographics
NPI:1326096041
Name:PARSONS, KRISTA R (ATC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTA
Middle Name:R
Last Name:PARSONS
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 1:6644 ELIZABETH LOOP SE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-8215
Mailing Address - Country:US
Mailing Address - Phone:206-251-8625
Mailing Address - Fax:
Practice Address - Street 1:800 4TH ST NE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-5018
Practice Address - Country:US
Practice Address - Phone:253-931-4880
Practice Address - Fax:253-931-4701
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer