Provider Demographics
NPI:1558394072
Name:GIUMINI, CATHERINE A (PT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:A
Last Name:GIUMINI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W FIR ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3201
Mailing Address - Country:US
Mailing Address - Phone:360-683-0632
Mailing Address - Fax:360-681-5483
Practice Address - Street 1:500 W FIR ST
Practice Address - Street 2:SUITE A
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3201
Practice Address - Country:US
Practice Address - Phone:360-683-0632
Practice Address - Fax:360-681-5483
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60520464225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1588774491OtherGROUP NPI
WA1588774491OtherGROUP NPI