Provider Demographics
NPI:1609068261
Name:HUNTTING, SARAH CAMPBELL (LMP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:CAMPBELL
Last Name:HUNTTING
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 1:3121 E MADISON ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4262
Mailing Address - Country:US
Mailing Address - Phone:206-852-3262
Mailing Address - Fax:206-322-5618
Practice Address - Street 1:3121 E MADISON ST
Practice Address - Street 2:SUITE 204
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4262
Practice Address - Country:US
Practice Address - Phone:206-852-3262
Practice Address - Fax:206-322-5618
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00008679225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist