Provider Demographics
NPI:1629367487
Name:OKHAPKINA, ELENA O (LMP)
Entity Type:Individual
Prefix:MRS
First Name:ELENA
Middle Name:O
Last Name:OKHAPKINA
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 1:14665 NE 34TH ST
Mailing Address - Street 2:B-14
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-3565
Mailing Address - Country:US
Mailing Address - Phone:425-376-0838
Mailing Address - Fax:
Practice Address - Street 1:13400 NORTHUP WAY
Practice Address - Street 2:SUITE 3
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005
Practice Address - Country:US
Practice Address - Phone:425-647-9786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60025060225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist