Provider Demographics
NPI:1811454499
Name:CALPIN, KRISTINA A (LMT)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:A
Last Name:CALPIN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:A
Other - Last Name:GARMASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:4318 35TH AVE W APT 202
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-1379
Mailing Address - Country:US
Mailing Address - Phone:206-271-7965
Mailing Address - Fax:
Practice Address - Street 1:100 WALL ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-1423
Practice Address - Country:US
Practice Address - Phone:206-448-9407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60443526225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMA60443526OtherWASHINGTON STATE DEPARTMENT OF HEALTH