Provider Demographics
NPI:1801191804
Name:SCHULZE, TIMNA ELISABETH (LMT)
Entity type:Individual
Prefix:
First Name:TIMNA
Middle Name:ELISABETH
Last Name:SCHULZE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7718 NE 167TH ST
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-4428
Mailing Address - Country:US
Mailing Address - Phone:425-286-4879
Mailing Address - Fax:425-606-3192
Practice Address - Street 1:18606 BOTHELL WAY NE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-1929
Practice Address - Country:US
Practice Address - Phone:425-686-7657
Practice Address - Fax:256-063-1924
Is Sole Proprietor?:No
Enumeration Date:2011-01-21
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 00025154225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist