Provider Demographics
NPI:1134556152
Name:PASTERNACK, IRENE SARA (GCFP (FELDENKRAIS))
Entity type:Individual
Prefix:MS
First Name:IRENE
Middle Name:SARA
Last Name:PASTERNACK
Suffix:
Gender:F
Credentials:GCFP (FELDENKRAIS)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15650 NE 24TH ST
Mailing Address - Street 2:SUITE C3
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-2460
Mailing Address - Country:US
Mailing Address - Phone:206-713-8583
Mailing Address - Fax:
Practice Address - Street 1:15650 NE 24TH ST
Practice Address - Street 2:SUITE C3
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-2460
Practice Address - Country:US
Practice Address - Phone:206-713-8583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FGNA 2010OtherGCFP HTTP://WWW.FELDENKRAIS.COM/PRACTITIONERS/FIND/