Provider Demographics
NPI:1912146606
Name:SESSIONS HURST, ANGELA MARY (LMP)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:MARY
Last Name:SESSIONS HURST
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 1:3528 199TH PL SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-9109
Mailing Address - Country:US
Mailing Address - Phone:206-683-0992
Mailing Address - Fax:
Practice Address - Street 1:1919 DEXTER AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2719
Practice Address - Country:US
Practice Address - Phone:206-295-0123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00017637225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist