Provider Demographics
NPI:1689753071
Name:LIM, ALANSON (PT, LMP)
Entity Type:Individual
Prefix:
First Name:ALANSON
Middle Name:
Last Name:LIM
Suffix:
Gender:M
Credentials:PT, LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8411 142ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-1917
Mailing Address - Country:US
Mailing Address - Phone:425-869-2004
Mailing Address - Fax:
Practice Address - Street 1:8411 142ND AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-1917
Practice Address - Country:US
Practice Address - Phone:425-869-2004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist