Provider Demographics
NPI:1831540004
Name:ZARLENGO, KRISTINA (LMP)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:ZARLENGO
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:
Other - Last Name:ZARLENGO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMP
Mailing Address - Street 1:1914 N 37TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8324
Mailing Address - Country:US
Mailing Address - Phone:206-380-5793
Mailing Address - Fax:
Practice Address - Street 1:12414 SE 218TH CT
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-2362
Practice Address - Country:US
Practice Address - Phone:206-380-5793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00020616172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist