Provider Demographics
NPI:1215160494
Name:TREES, NANCY R
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:R
Last Name:TREES
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:NAN
Other - Middle Name:
Other - Last Name:TREES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMP
Mailing Address - Street 1:2270 NE 53RD ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3212
Mailing Address - Country:US
Mailing Address - Phone:206-525-7170
Mailing Address - Fax:
Practice Address - Street 1:2270 NE 53RD ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3212
Practice Address - Country:US
Practice Address - Phone:206-525-7170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWAMA#641225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist