Provider Demographics
NPI:1447591011
Name:ATWOOD, HAUNANI DAWN (LMT)
Entity Type:Individual
Prefix:
First Name:HAUNANI
Middle Name:DAWN
Last Name:ATWOOD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 TUMWATER BLVD SE STE C213
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-6400
Mailing Address - Country:US
Mailing Address - Phone:360-706-2674
Mailing Address - Fax:360-634-3565
Practice Address - Street 1:111 TUMWATER BLVD SE STE C213
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-6400
Practice Address - Country:US
Practice Address - Phone:360-706-2674
Practice Address - Fax:360-634-3565
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60319176225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist