Provider Demographics
NPI:1821177270
Name:CULLINANE, NANCY C (PT, MSH)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:C
Last Name:CULLINANE
Suffix:
Gender:F
Credentials:PT, MSH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2171 SHALLOW SHORE LN
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-8520
Mailing Address - Country:US
Mailing Address - Phone:360-656-5740
Mailing Address - Fax:
Practice Address - Street 1:2171 SHALLOW SHORE LN
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-8520
Practice Address - Country:US
Practice Address - Phone:360-656-5740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2008-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00006060225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist