Provider Demographics
NPI:1598123838
Name:WEED, CHRISTINA L (LMT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:L
Last Name:WEED
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 N OLYMPIC AVE STE E
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-1299
Mailing Address - Country:US
Mailing Address - Phone:425-647-5391
Mailing Address - Fax:
Practice Address - Street 1:437 N OLYMPIC AVE STE E
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1299
Practice Address - Country:US
Practice Address - Phone:425-647-5391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-01
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00009006174400000X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No174400000XOther Service ProvidersSpecialist