Provider Demographics
NPI:1053569210
Name:PINETTE, HARMONY (LMP)
Entity type:Individual
Prefix:
First Name:HARMONY
Middle Name:
Last Name:PINETTE
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:PO BOX 527
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-0527
Mailing Address - Country:US
Mailing Address - Phone:360-301-2465
Mailing Address - Fax:
Practice Address - Street 1:631 WATER ST
Practice Address - Street 2:STE B
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-5726
Practice Address - Country:US
Practice Address - Phone:360-385-6657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00014097225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist