Provider Demographics
NPI:1659552784
Name:STONE, NATALIE CORRINE
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:CORRINE
Last Name:STONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 15TH AVE APT G
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-4001
Mailing Address - Country:US
Mailing Address - Phone:206-931-4876
Mailing Address - Fax:
Practice Address - Street 1:340 15TH AVE E STE 308
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-5156
Practice Address - Country:US
Practice Address - Phone:206-931-4876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist