Provider Demographics
NPI:1366586877
Name:ESPINA BRESNAHAN, CLAUDIA (LMP)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:ESPINA BRESNAHAN
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 1:1524 NE 171ST ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-6023
Mailing Address - Country:US
Mailing Address - Phone:206-579-7960
Mailing Address - Fax:
Practice Address - Street 1:4600 UNION BAY PL NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4037
Practice Address - Country:US
Practice Address - Phone:206-729-1297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023095225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist