Provider Demographics
NPI:1629299763
Name:ROBBINS, PATTI (ND, LM)
Entity Type:Individual
Prefix:DR
First Name:PATTI
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:ND, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1653 E 31ST ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98404-4912
Mailing Address - Country:US
Mailing Address - Phone:253-539-4433
Mailing Address - Fax:253-572-0424
Practice Address - Street 1:1653 E 31ST ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98404-4912
Practice Address - Country:US
Practice Address - Phone:253-539-4433
Practice Address - Fax:253-572-0424
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA552175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath