Provider Demographics
NPI:1326305426
Name:NICOL MCGEE, DEBORAH ELIZABETH (LMP)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:ELIZABETH
Last Name:NICOL MCGEE
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 1:19235 73RD AVE NE
Mailing Address - Street 2:UNIT 2
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-2662
Mailing Address - Country:US
Mailing Address - Phone:435-419-6597
Mailing Address - Fax:
Practice Address - Street 1:19235 73RD AVE NE
Practice Address - Street 2:UNIT 2
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-2662
Practice Address - Country:US
Practice Address - Phone:425-419-6597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60108694225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist