=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477810141
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NOELLE FRANCOISE PINAQUY L.M.P.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/18/2012
-----------------------------------------------------
Last Update Date | 04/18/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1730 22ND AVE UNIT W621
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98122-2981
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-829-4307
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1730 22ND AVE UNIT W621
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98122-2981
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-829-4307
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | MA60208724
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------