Provider Demographics
NPI:1730222019
Name:KRAAK, FRANCINA NELLY (LMP)
Entity type:Individual
Prefix:MRS
First Name:FRANCINA
Middle Name:NELLY
Last Name:KRAAK
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5343 TALLMAN AVE NW
Mailing Address - Street 2:#101 TALLMAN MEDICAL CENTER
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107
Mailing Address - Country:US
Mailing Address - Phone:206-706-0515
Mailing Address - Fax:
Practice Address - Street 1:5343 TALLMAN AVE NW
Practice Address - Street 2:#101 TALLMAN MEDICAL CENTER
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107
Practice Address - Country:US
Practice Address - Phone:206-706-0515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00020939225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0213044OtherLABOR & INDUSTRIES