Provider Demographics
NPI:1124526793
Name:TORRI, KATHARINA (ND, LAC)
Entity type:Individual
Prefix:
First Name:KATHARINA
Middle Name:
Last Name:TORRI
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:DR
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:TORRI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND, LAC
Mailing Address - Street 1:PO BOX 1605
Mailing Address - Street 2:
Mailing Address - City:EASTSOUND
Mailing Address - State:WA
Mailing Address - Zip Code:98245-1605
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:286 ENCHANTED FOREST RD # A202
Practice Address - Street 2:
Practice Address - City:EASTSOUND
Practice Address - State:WA
Practice Address - Zip Code:98245-9714
Practice Address - Country:US
Practice Address - Phone:360-376-4061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC2888171100000X
WANT1501175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist