Provider Demographics
NPI:1376245779
Name:BARAKAT, MONYIA (DC)
Entity type:Individual
Prefix:
First Name:MONYIA
Middle Name:
Last Name:BARAKAT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24015 VAN RY BLVD # 403
Mailing Address - Street 2:
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-5458
Mailing Address - Country:US
Mailing Address - Phone:407-341-1807
Mailing Address - Fax:
Practice Address - Street 1:2033 6TH AVE STE 917
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-2568
Practice Address - Country:US
Practice Address - Phone:206-339-8301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61413368111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor