Provider Demographics
NPI:1992715866
Name:LEVISEUR, CATHERINE A (OT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:A
Last Name:LEVISEUR
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 OLIVE WAY
Mailing Address - Street 2:MAIL STOP M4- PFS TRAINING
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1873
Mailing Address - Country:US
Mailing Address - Phone:206-583-6025
Mailing Address - Fax:206-515-5886
Practice Address - Street 1:1100 OLIVE WAY
Practice Address - Street 2:MAIL STOP M4- PFS TRAINING
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1873
Practice Address - Country:US
Practice Address - Phone:206-583-6025
Practice Address - Fax:206-515-5886
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00001398225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4673LEOtherBLUE SHIELD #
WA8444895Medicaid
WA95504UOtherREGENCE BLUE SHIELD PIN
WA4673LEOtherBLUE SHIELD #