Doctor Name: | CAMI JO HOSTETLER |
NPI Number: | 1215149869 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | |
Business Practice Address: | 1830 Bickford Ave Suite 209 Snohomish, WA - 982901749 |
Business Phone Number: | 3605687774 |
Business Fax Number: | 3605627779 |
Mailing Address: | 1519 132nd St Se, Suite A EVERETT |
State: | WA |
Postal Code: | 982087203 |
Phone Number: | 4253579380 |
Fax Number: | 4253579382 |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 02/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |