Provider Demographics
NPI:1437386729
Name:YON-BROOKS, LAURA C (MA, LMP,RYT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:C
Last Name:YON-BROOKS
Suffix:
Gender:F
Credentials:MA, LMP,RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 N 35TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8607
Mailing Address - Country:US
Mailing Address - Phone:206-365-1997
Mailing Address - Fax:
Practice Address - Street 1:418 N 35TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8607
Practice Address - Country:US
Practice Address - Phone:206-365-1997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60063005225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist