Provider Demographics
NPI:1689098600
Name:COHEN, NANCEY LEE (LMP)
Entity Type:Individual
Prefix:
First Name:NANCEY
Middle Name:LEE
Last Name:COHEN
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 1:107 20TH AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5872
Mailing Address - Country:US
Mailing Address - Phone:206-383-4197
Mailing Address - Fax:
Practice Address - Street 1:107 20TH AVE APT 202
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5872
Practice Address - Country:US
Practice Address - Phone:206-383-4197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-11
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60442149225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist