Provider Demographics
NPI:1831393941
Name:DELGADO, ANTHONY A (LMT)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:A
Last Name:DELGADO
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14100 LINDEN AVE N APT 117B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-7155
Mailing Address - Country:US
Mailing Address - Phone:206-601-6089
Mailing Address - Fax:
Practice Address - Street 1:1818 E MERCER ST STE 102
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4689
Practice Address - Country:US
Practice Address - Phone:425-954-7333
Practice Address - Fax:425-589-0438
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA0019552225700000X
WA3517225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist