Provider Demographics
NPI:1386784841
Name:NORWOOD, KATHERINE A (LMP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:A
Last Name:NORWOOD
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 CAMANO AVE
Mailing Address - Street 2:PO BOX 200
Mailing Address - City:LANGLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98260-9577
Mailing Address - Country:US
Mailing Address - Phone:360-221-6261
Mailing Address - Fax:360-221-8303
Practice Address - Street 1:724 CAMANO AVE
Practice Address - Street 2:
Practice Address - City:LANGLEY
Practice Address - State:WA
Practice Address - Zip Code:98260-9577
Practice Address - Country:US
Practice Address - Phone:360-221-6261
Practice Address - Fax:360-221-8303
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00009754225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist