Provider Demographics
NPI:1982188074
Name:TOFLE, LINDA S (LMT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:S
Last Name:TOFLE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:VYLIA
Other - Middle Name:LINDA
Other - Last Name:TOFLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3228 NW 69TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-6127
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3228 NW 69TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-6127
Practice Address - Country:US
Practice Address - Phone:206-719-7395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60892291225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMA60892291OtherDOH MASSAGE THERAPIST LICENSE CREDENTIAL