Provider Demographics
NPI:1578652673
Name:ALMARIO, KRISTIE A (LMP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:A
Last Name:ALMARIO
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:MISS
Other - First Name:KRISTIE
Other - Middle Name:A
Other - Last Name:PHELPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:1415 HUME ST S
Mailing Address - Street 2:#B
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-2646
Mailing Address - Country:US
Mailing Address - Phone:253-539-0453
Mailing Address - Fax:
Practice Address - Street 1:1720 S 72ND ST
Practice Address - Street 2:SUITE 103
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98408-1245
Practice Address - Country:US
Practice Address - Phone:253-475-6779
Practice Address - Fax:253-475-7005
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00013160174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0202423OtherDEPT OF L&I
WA8940721OtherCRIME VICTIMS