Provider Demographics
NPI:1821389602
Name:POUNCY, KATHY STRANDE (LMP)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:STRANDE
Last Name:POUNCY
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 1:23525 NE NOVELTY HILL RD
Mailing Address - Street 2:STE A109
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-1995
Mailing Address - Country:US
Mailing Address - Phone:425-868-0120
Mailing Address - Fax:425-868-3920
Practice Address - Street 1:23525 NE NOVELTY HILL RD
Practice Address - Street 2:STE A109
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-1995
Practice Address - Country:US
Practice Address - Phone:425-868-0120
Practice Address - Fax:425-868-3920
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00012961225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist