Provider Demographics
NPI:1821218918
Name:SAASTAMO, KAIJA ELINA (LMP)
Entity Type:Individual
Prefix:MRS
First Name:KAIJA
Middle Name:ELINA
Last Name:SAASTAMO
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 1:854 BUTTE HILL RD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98674-8266
Mailing Address - Country:US
Mailing Address - Phone:360-225-9875
Mailing Address - Fax:
Practice Address - Street 1:1044 B ST
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:WA
Practice Address - Zip Code:98674-9404
Practice Address - Country:US
Practice Address - Phone:360-225-0834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00014686225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist