Provider Demographics
NPI:1780353821
Name:HUNTLEY, VICTORIA VADNAIS
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:VADNAIS
Last Name:HUNTLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 ARAB DR SE
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-6829
Mailing Address - Country:US
Mailing Address - Phone:360-451-2617
Mailing Address - Fax:
Practice Address - Street 1:1704 ARAB DR SE
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-6829
Practice Address - Country:US
Practice Address - Phone:360-451-2617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-11
Last Update Date:2021-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach