Provider Demographics
NPI:1407092869
Name:MAGUS, KATJA VIOLET (ND)
Entity Type:Individual
Prefix:DR
First Name:KATJA
Middle Name:VIOLET
Last Name:MAGUS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:KATJA
Other - Middle Name:
Other - Last Name:CALDWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5825 221ST PL SE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-8927
Mailing Address - Country:US
Mailing Address - Phone:425-391-7777
Mailing Address - Fax:425-391-1660
Practice Address - Street 1:5825 221ST PL SE
Practice Address - Street 2:SUITE 204
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-8927
Practice Address - Country:US
Practice Address - Phone:425-391-7777
Practice Address - Fax:425-391-1660
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60039770175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath