Provider Demographics
NPI:1477820157
Name:STANTON-CARTWRIGHT, MEREDITH ASHLEY (LMP)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ASHLEY
Last Name:STANTON-CARTWRIGHT
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:ASHLEY
Other - Last Name:STANTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3320 WEST MCGRAW STREET
Mailing Address - Street 2:SUITE #4
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199
Mailing Address - Country:US
Mailing Address - Phone:206-283-9910
Mailing Address - Fax:206-283-9935
Practice Address - Street 1:3320 WEST MCGRAW STREET
Practice Address - Street 2:SUITE #4
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98199
Practice Address - Country:US
Practice Address - Phone:206-283-9910
Practice Address - Fax:206-283-9935
Is Sole Proprietor?:No
Enumeration Date:2011-11-22
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60233553225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist