Provider Demographics
NPI:1063751881
Name:DAYHOFF, CATHERINE (EAMP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:DAYHOFF
Suffix:
Gender:F
Credentials:EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4485 SKYLERS ALY
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98274-3024
Mailing Address - Country:US
Mailing Address - Phone:360-820-0637
Mailing Address - Fax:877-754-9601
Practice Address - Street 1:417 W GATES ST STE 5
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-5925
Practice Address - Country:US
Practice Address - Phone:360-591-7616
Practice Address - Fax:877-754-9601
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-14
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60330666171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist