Provider Demographics
NPI:1871540765
Name:ISHII, NANCY K (LAC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:K
Last Name:ISHII
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:K
Other - Last Name:ISHII MARTOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10032 15TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98146-3728
Mailing Address - Country:US
Mailing Address - Phone:206-890-0758
Mailing Address - Fax:206-701-6537
Practice Address - Street 1:10032 15TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98146-3728
Practice Address - Country:US
Practice Address - Phone:206-890-0758
Practice Address - Fax:206-701-6537
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00014525225700000X
WAAC00000751171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist