Provider Demographics
NPI:1790901981
Name:BARTHELS, CATHRIN MARIE
Entity Type:Individual
Prefix:MRS
First Name:CATHRIN
Middle Name:MARIE
Last Name:BARTHELS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11215 29TH ST SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98205-7107
Mailing Address - Country:US
Mailing Address - Phone:425-268-8955
Mailing Address - Fax:
Practice Address - Street 1:11215 29TH ST SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98205-7107
Practice Address - Country:US
Practice Address - Phone:425-268-8955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA9375225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist