Provider Demographics
NPI:1326719725
Name:NAGY, CATHERINE MICHELE (NBCR, LMT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MICHELE
Last Name:NAGY
Suffix:
Gender:F
Credentials:NBCR, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2390 PEACE PORTAL DR
Mailing Address - Street 2:PMB 156
Mailing Address - City:BLAINE
Mailing Address - State:WA
Mailing Address - Zip Code:98230-8062
Mailing Address - Country:US
Mailing Address - Phone:360-303-7681
Mailing Address - Fax:
Practice Address - Street 1:1200 DUPONT ST STE 2A
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3100
Practice Address - Country:US
Practice Address - Phone:360-303-7681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-24
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60834031173C00000X
WA61098380225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No173C00000XOther Service ProvidersReflexologist