MEDICARE: MRS. CHRISTINA M CRAMER LMP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172M00000X	Mechanotherapist		WA
2	173C00000X	Reflexologist		WA

General Provider Information

NPI Number	:	1356580849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINA M CRAMER LMP

Provider Business Mailing Address
First Line	:	1608 E REPUBLICAN ST APT 102
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112-4673
Country	:	US
Telephone Number	:	206-328-4196
Fax Number	:

Provider Business Practice Location Address
First Line	:	4649 SUNNYSIDE AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-6900
Country	:	US
Telephone Number	:	206-328-4196
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2009
Last Update Date	:	02/06/2009

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