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NPI Code Detail

MEDICARE: MR. ERIC MICHAEL ANDREWS-KATZ LMT

MEDICARE: MR. ERIC MICHAEL ANDREWS-KATZ LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA07381WA

General Provider Information

NPI Number : 1306915640
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ERIC MICHAEL ANDREWS-KATZ LMT
Provider Business Mailing Address
First Line : 714 N 161ST PL
Second Line :
City : SHORELINE
State : WA
Zip : 98133-5671
Country : US
Telephone Number : 206-427-2192
Fax Number : 206-388-0913
Provider Business Practice Location Address
First Line : 203 14TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-5223
Country : US
Telephone Number : 206-427-2192
Fax Number : 206-388-0913
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/08/2007

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