Provider Demographics
NPI:1629291166
Name:SEIFFERT, CATHERINE ASHLEY (LMP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ASHLEY
Last Name:SEIFFERT
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 1:1620 S DISCOVERY RD
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-9288
Mailing Address - Country:US
Mailing Address - Phone:360-643-3235
Mailing Address - Fax:360-385-6970
Practice Address - Street 1:1620 S DISCOVERY RD
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-9288
Practice Address - Country:US
Practice Address - Phone:360-643-3235
Practice Address - Fax:360-385-6970
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00016404225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist