Provider Demographics
NPI:1881876357
Name:LODATO, LORI N (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:N
Last Name:LODATO
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4606 STONE WAY N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6737
Mailing Address - Country:US
Mailing Address - Phone:206-547-1144
Mailing Address - Fax:206-547-5534
Practice Address - Street 1:4606 STONE WAY N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6737
Practice Address - Country:US
Practice Address - Phone:206-547-1144
Practice Address - Fax:206-547-5534
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00024234174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist