Provider Demographics
NPI:1942856448
Name:STOOR, LINDSEY (NA60982414)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:STOOR
Suffix:
Gender:F
Credentials:NA60982414
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6305 SE 2ND ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-8587
Mailing Address - Country:US
Mailing Address - Phone:323-316-7487
Mailing Address - Fax:
Practice Address - Street 1:6501 RAILROAD AVE SE
Practice Address - Street 2:
Practice Address - City:SNOQUALMIE
Practice Address - State:WA
Practice Address - Zip Code:98065-9687
Practice Address - Country:US
Practice Address - Phone:425-888-2556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist