Provider Demographics
NPI:1881809929
Name:ALLENTREECE, SARAH MCKENZIE (LMP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MCKENZIE
Last Name:ALLENTREECE
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 1:3415 LARSEN AVE
Mailing Address - Street 2:
Mailing Address - City:ENUMCLAW
Mailing Address - State:WA
Mailing Address - Zip Code:98022-6446
Mailing Address - Country:US
Mailing Address - Phone:253-569-2167
Mailing Address - Fax:
Practice Address - Street 1:1408 LAKE TAPPS PKWY E
Practice Address - Street 2:SUITE E 105
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98092-8158
Practice Address - Country:US
Practice Address - Phone:253-735-0123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023078225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist