Provider Demographics
NPI:1013306992
Name:EIGHTH FIELD PLCC
Entity Type:Organization
Organization Name:EIGHTH FIELD PLCC
Other - Org Name:KATHERINE YANO, PT
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:SHIZUE
Authorized Official - Last Name:YANO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:206-852-5878
Mailing Address - Street 1:8250 LATONA AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-4055
Mailing Address - Country:US
Mailing Address - Phone:206-852-5878
Mailing Address - Fax:206-522-4749
Practice Address - Street 1:2915 E MADISON ST
Practice Address - Street 2:SUITE 205
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4265
Practice Address - Country:US
Practice Address - Phone:206-852-5878
Practice Address - Fax:206-522-4749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT0005158261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1841461993OtherNPPES