NPI 1013366228

Teresa Manz, LMP

Practitioner Specialist Seattle, WA

Practice location

Address: 3601 Fremont Ave N STE 412, Seattle, WA 98103-8753
Phone: (360) 551-6784
Fax: (206) 260-7900

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 22570000X (WA)

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Registry record

NPI: 1013366228
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jun 2016
Record last updated: 8 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.