Provider Demographics
NPI:1558514018
Name:LOWE, AMY (LMP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:LOWE
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:JOHNSON-LOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:13028 INTERURBAN AVE S
Mailing Address - Street 2:SUITE 106
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98168-3340
Mailing Address - Country:US
Mailing Address - Phone:206-957-7950
Mailing Address - Fax:206-957-7952
Practice Address - Street 1:13028 INTERURBAN AVE S
Practice Address - Street 2:SUITE 106
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-3340
Practice Address - Country:US
Practice Address - Phone:206-957-7950
Practice Address - Fax:206-957-7952
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00024532225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist