Provider Demographics
NPI:1871670604
Name:ALLENDER, ANNA REBECCA (MAC, LAC)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:REBECCA
Last Name:ALLENDER
Suffix:
Gender:F
Credentials:MAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 11TH AVE E APT 1
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-4549
Mailing Address - Country:US
Mailing Address - Phone:206-890-3701
Mailing Address - Fax:206-842-5993
Practice Address - Street 1:425 ERICKSEN AVE NE
Practice Address - Street 2:SUITE 200
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-2867
Practice Address - Country:US
Practice Address - Phone:206-890-3701
Practice Address - Fax:206-842-5993
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002314171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist