Provider Demographics
NPI:1558482240
Name:STRID, ALISON DIANE (LMP)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:DIANE
Last Name:STRID
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11065 5TH AVE. NE
Mailing Address - Street 2:STE. E
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-6100
Mailing Address - Country:US
Mailing Address - Phone:206-353-2746
Mailing Address - Fax:206-260-2701
Practice Address - Street 1:11065 5TH AVE. NE
Practice Address - Street 2:STE. E
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-6100
Practice Address - Country:US
Practice Address - Phone:206-353-2746
Practice Address - Fax:206-260-2701
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00014945225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist