Doctor Name: | JULIE CATHERINE COGGBURN |
NPI Number: | 1831236850 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA00019954 |
Business Practice Address: | 25 95th Dr Ne Suite 105 Lake Stevens, WA - 982587976 |
Business Phone Number: | 4253349137 |
Business Fax Number: | |
Mailing Address: | 25-95th Drive Ne, Suite 105 LAKE STEVENS |
State: | WA |
Postal Code: | 982589756 |
Phone Number: | 4253349137 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00019954 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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. |