Provider Demographics
NPI:1447652888
Name:HEALING TOUCH BY KATIE
Entity type:Organization
Organization Name:HEALING TOUCH BY KATIE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:RADOSLOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-307-7844
Mailing Address - Street 1:6150 N WENAS RD
Mailing Address - Street 2:
Mailing Address - City:SELAH
Mailing Address - State:WA
Mailing Address - Zip Code:98942-9748
Mailing Address - Country:US
Mailing Address - Phone:509-307-7844
Mailing Address - Fax:
Practice Address - Street 1:3610 SUMMITVIEW AVE STE 210
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-2705
Practice Address - Country:US
Practice Address - Phone:509-307-7844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60393515174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty