Katherina Carrie Paul, LMP

Individual provider Active NPI Massage Therapist · Orting, WA

NPI 1407924012 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1407924012
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA00019047 (WA)
Practice address
215 Whitesell St NW
Ste. C102
Orting, WA 98360-9329
Phone
(360) 893-5300
Fax
(360) 893-5314
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA00019047WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Family Chiropractic Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00019047 WA Yes

Addresses

Primary practice location

215 Whitesell St NW
Ste. C102
Orting, WA 98360-9329

Mailing address

PO Box 1414
Orting, WA 98360-1414
Phone (360) 893-5300

Other providers in Orting, WA

All providers in Orting, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.