Healthcare Provider Details

I. General information

NPI: 1619216074
Provider Name (Legal Business Name): HEATHER MARIE CURRIE LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2013
Last Update Date: 02/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14709 AURORA AVE N
SHORELINE WA
98133-6547
US

IV. Provider business mailing address

14709 AURORA AVE N
SHORELINE WA
98133-6547
US

V. Phone/Fax

Practice location:
  • Phone: 206-363-4478
  • Fax: 206-363-4640
Mailing address:
  • Phone: 206-363-4478
  • Fax: 206-363-4640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License NumberMA00017792
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: