Healthcare Provider Details

I. General information

NPI: 1609154202
Provider Name (Legal Business Name): KATHERINE E TOEVS LMP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2011
Last Update Date: 07/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E WOODIN AVE
CHELAN WA
98816-9148
US

IV. Provider business mailing address

510 E WOODIN AVE
CHELAN WA
98816-9148
US

V. Phone/Fax

Practice location:
  • Phone: 509-687-3232
  • Fax: 888-570-2644
Mailing address:
  • Phone: 509-687-3232
  • Fax: 888-570-2644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60161734
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: