Provider Demographics
NPI:1174764559
Name:PIERINI, KATEY (LMP)
Entity type:Individual
Prefix:
First Name:KATEY
Middle Name:
Last Name:PIERINI
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5011
Mailing Address - Country:US
Mailing Address - Phone:206-329-4238
Mailing Address - Fax:
Practice Address - Street 1:2408 10TH AVE E
Practice Address - Street 2:SUITE A
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-4050
Practice Address - Country:US
Practice Address - Phone:206-329-4238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-16
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00005405172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist