Healthcare Provider Details

I. General information

NPI: 1356580849
Provider Name (Legal Business Name): CHRISTINA M CRAMER LMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2009
Last Update Date: 02/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4649 SUNNYSIDE AVE N
SEATTLE WA
98103-6900
US

IV. Provider business mailing address

1608 E REPUBLICAN ST APT 102
SEATTLE WA
98112-4673
US

V. Phone/Fax

Practice location:
  • Phone: 206-328-4196
  • Fax:
Mailing address:
  • Phone: 206-328-4196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: