Provider Demographics
NPI:1144542135
Name:FOSS, PATRICIA A (LMP)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:A
Last Name:FOSS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:TRISH
Other - Middle Name:
Other - Last Name:FOSS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMP
Mailing Address - Street 1:14040 29TH AVE S.
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98168
Mailing Address - Country:US
Mailing Address - Phone:206-778-6612
Mailing Address - Fax:
Practice Address - Street 1:14040 29TH AVE S.
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98168
Practice Address - Country:US
Practice Address - Phone:206-778-6612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist