Healthcare Provider Details

I. General information

NPI: 1639385552
Provider Name (Legal Business Name): LYNN B KAMATOY LMP, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 OLIVE WAY STE 1358
SEATTLE WA
98101-1720
US

IV. Provider business mailing address

4037 DAYTON AVE N
SEATTLE WA
98103-7720
US

V. Phone/Fax

Practice location:
  • Phone: 206-623-7213
  • Fax:
Mailing address:
  • Phone: 206-789-9264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00002106
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00003647
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: