Provider Demographics
NPI:1912220625
Name:FOLEY, HELEN
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:FOLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 FINCH PL SW
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-2577
Mailing Address - Country:US
Mailing Address - Phone:206-842-6714
Mailing Address - Fax:206-842-1667
Practice Address - Street 1:149 FINCH PL SW
Practice Address - Street 2:SUITE 1
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-2577
Practice Address - Country:US
Practice Address - Phone:206-842-6714
Practice Address - Fax:206-842-1667
Is Sole Proprietor?:No
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60115527225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist