Provider Demographics
NPI:1306915640
Name:ANDREWS-KATZ, ERIC MICHAEL (LMT)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:MICHAEL
Last Name:ANDREWS-KATZ
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:MR
Other - First Name:ERIC
Other - Middle Name:MICHAEL
Other - Last Name:KATZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:714 N 161ST PL
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-5671
Mailing Address - Country:US
Mailing Address - Phone:206-427-2192
Mailing Address - Fax:206-388-0913
Practice Address - Street 1:203 14TH AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-5223
Practice Address - Country:US
Practice Address - Phone:206-427-2192
Practice Address - Fax:206-388-0913
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA07381225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist