Provider Demographics
NPI:1578946430
Name:LABARGE, JULIA N (AP, LMT)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:N
Last Name:LABARGE
Suffix:
Gender:F
Credentials:AP, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13725 12TH AVE SW APT 387
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-1105
Mailing Address - Country:US
Mailing Address - Phone:321-437-5917
Mailing Address - Fax:
Practice Address - Street 1:9640D 16TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-2827
Practice Address - Country:US
Practice Address - Phone:321-437-5917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-09
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60318130171100000X
WA60288495225700000X
FLAP3605171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty