Provider Demographics
NPI:1316232523
Name:CLAFLIN, SANDRAH LEE (LMP)
Entity type:Individual
Prefix:MRS
First Name:SANDRAH
Middle Name:LEE
Last Name:CLAFLIN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6515 134TH PL SE UNIT H6
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-8674
Mailing Address - Country:US
Mailing Address - Phone:425-248-7784
Mailing Address - Fax:425-585-0643
Practice Address - Street 1:16507 7TH PL W STE A
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-8107
Practice Address - Country:US
Practice Address - Phone:425-745-8424
Practice Address - Fax:425-745-8424
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60098703225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist