Provider Demographics
NPI:1588999221
Name:PERKINS, DAY ANNA (LMP)
Entity type:Individual
Prefix:
First Name:DAY
Middle Name:ANNA
Last Name:PERKINS
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 1:23617 112TH AVE SE
Mailing Address - Street 2:#F101
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-3537
Mailing Address - Country:US
Mailing Address - Phone:253-579-2308
Mailing Address - Fax:
Practice Address - Street 1:23617 112TH AVE SE
Practice Address - Street 2:#F101
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-3537
Practice Address - Country:US
Practice Address - Phone:253-579-2308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60102591225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist