Provider Demographics
NPI:1790058014
Name:ARRINGTON, KORI LEE (LMP)
Entity Type:Individual
Prefix:MRS
First Name:KORI
Middle Name:LEE
Last Name:ARRINGTON
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 1:129 S DUNHAM AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-1507
Mailing Address - Country:US
Mailing Address - Phone:425-359-7376
Mailing Address - Fax:
Practice Address - Street 1:22790 BUCHANAN ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-8023
Practice Address - Country:US
Practice Address - Phone:360-856-5562
Practice Address - Fax:360-856-4923
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00021571225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist