Provider Demographics
NPI:1821333261
Name:HOWARD, JELINA (LMP)
Entity Type:Individual
Prefix:
First Name:JELINA
Middle Name:
Last Name:HOWARD
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 1:3401 EVANSTON AVE N
Mailing Address - Street 2:ATRIUM OFFICES SUITE E
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8677
Mailing Address - Country:US
Mailing Address - Phone:206-920-6785
Mailing Address - Fax:
Practice Address - Street 1:3401 EVANSTON AVE N
Practice Address - Street 2:ATRIUM OFFICES SUITE E
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103
Practice Address - Country:US
Practice Address - Phone:206-920-6785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00022762225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist