Provider Demographics
NPI:1831403583
Name:HOPKINS, KATHRYN RENE (LMP)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:RENE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6603 220TH ST SW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-2186
Mailing Address - Country:US
Mailing Address - Phone:425-670-2600
Mailing Address - Fax:425-778-7073
Practice Address - Street 1:6603 220TH ST SW
Practice Address - Street 2:SUITE 100
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-2186
Practice Address - Country:US
Practice Address - Phone:425-670-2600
Practice Address - Fax:425-778-7073
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00016575225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist