Provider Demographics
NPI:1043769441
Name:ADAMS, CORRIE L (LMT)
Entity type:Individual
Prefix:MS
First Name:CORRIE
Middle Name:L
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 8TH AVE
Mailing Address - Street 2:602
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-4412
Mailing Address - Country:US
Mailing Address - Phone:360-621-9882
Mailing Address - Fax:
Practice Address - Street 1:1831 8TH AVE APT 602
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-4411
Practice Address - Country:US
Practice Address - Phone:989-482-1291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation