Provider Demographics
NPI:1649234006
Name:LAPOLLA, CHRISTINE M (PT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:LAPOLLA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 132ND ST SE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-8999
Mailing Address - Country:US
Mailing Address - Phone:425-357-9380
Mailing Address - Fax:425-357-9382
Practice Address - Street 1:7728 204TH ST NE
Practice Address - Street 2:SUITE A
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-2500
Practice Address - Country:US
Practice Address - Phone:360-403-8250
Practice Address - Fax:360-403-0917
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0273753OtherDEPT OF L&I
WA0536LAOtherREGENCE
WA4030LAOtherREGENCE BLUE SHIELD
WA911745305-98223-C003OtherTRICARE
WA0273745OtherDEPT OF L&I
WA2033LAOtherREGENCE BLUE SHIELD
WA0208234OtherDEPT. OF LABOR & INDUSTRY
WA911745305-98252-C002OtherTRICARE
WA5862554OtherAETNA
WA8336695Medicaid
WA8941295OtherL&I CRIME VICTIMS
WAP00322581OtherRR MEDICARE
WA0535LAOtherREGENCE
WA5862554OtherAETNA
WA8941295OtherL&I CRIME VICTIMS
WA0273753OtherDEPT OF L&I