Provider Demographics
NPI:1013055003
Name:RAEF, ZANDRA J (ATC)
Entity Type:Individual
Prefix:
First Name:ZANDRA
Middle Name:J
Last Name:RAEF
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:ZANDRA
Other - Middle Name:J
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:8525 176TH PL NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-4055
Mailing Address - Country:US
Mailing Address - Phone:360-435-9500
Mailing Address - Fax:
Practice Address - Street 1:7728 204TH ST. NE
Practice Address - Street 2:SUITE A
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223
Practice Address - Country:US
Practice Address - Phone:360-403-8250
Practice Address - Fax:360-403-0917
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer