Provider Demographics
NPI:1750644423
Name:FINK, KENDRA DAWN (LMT)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:DAWN
Last Name:FINK
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4208 LEARY WAY NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4535
Mailing Address - Country:US
Mailing Address - Phone:206-414-9372
Mailing Address - Fax:
Practice Address - Street 1:4208 LEARY WAY NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4535
Practice Address - Country:US
Practice Address - Phone:206-414-9372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60129796225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist