Provider Demographics
NPI:1538683941
Name:TRAUTMAN, DANIEL RAY (MA 60320064)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:RAY
Last Name:TRAUTMAN
Suffix:
Gender:M
Credentials:MA 60320064
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12015 SE 213TH ST
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-2218
Mailing Address - Country:US
Mailing Address - Phone:206-290-1958
Mailing Address - Fax:
Practice Address - Street 1:1760 NEWPORT WAY NW
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5354
Practice Address - Country:US
Practice Address - Phone:425-998-6542
Practice Address - Fax:425-332-7071
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2017-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist