Provider Demographics
NPI:1790324010
Name:EDENS, FRANCIE CORINN (LMT)
Entity Type:Individual
Prefix:
First Name:FRANCIE
Middle Name:CORINN
Last Name:EDENS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:FRANCIE
Other - Middle Name:CORINN
Other - Last Name:STRAUSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:225 NW LINDVIG WAY SUITE# 6
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370
Mailing Address - Country:US
Mailing Address - Phone:360-509-5396
Mailing Address - Fax:
Practice Address - Street 1:225 NW LINDVIG WAY SUITE# 6
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370
Practice Address - Country:US
Practice Address - Phone:360-509-5396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60879893225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty