Provider Demographics
NPI:1548579915
Name:ABEL, CLAUDIA CECILIA (MA 60166310)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:CECILIA
Last Name:ABEL
Suffix:
Gender:F
Credentials:MA 60166310
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 DEWITT RD
Mailing Address - Street 2:
Mailing Address - City:WAITSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:99361-8780
Mailing Address - Country:US
Mailing Address - Phone:509-386-1974
Mailing Address - Fax:
Practice Address - Street 1:111 PRESTON AVE
Practice Address - Street 2:
Practice Address - City:WAITSBURG
Practice Address - State:WA
Practice Address - Zip Code:99361-8808
Practice Address - Country:US
Practice Address - Phone:509-386-1974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60166310225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist