Provider Demographics
NPI:1992585913
Name:ROBBINS, KATHERINE WHITNEY (LMT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:WHITNEY
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4507 150TH PL SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-2524
Mailing Address - Country:US
Mailing Address - Phone:347-463-7775
Mailing Address - Fax:
Practice Address - Street 1:4507 150TH PL SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-2524
Practice Address - Country:US
Practice Address - Phone:347-463-7775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61233529225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist