Provider Demographics
NPI:1952536690
Name:PATTERSON, RENEE DOROTHEA (MASSAGE THERAPIST, B)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:DOROTHEA
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST, B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11645 23RD AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98146
Mailing Address - Country:US
Mailing Address - Phone:206-963-4605
Mailing Address - Fax:
Practice Address - Street 1:11645 23RS AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98146
Practice Address - Country:US
Practice Address - Phone:206-963-4605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist