| |
12040 98th Ave Ne, Suite 103, Kirkland, WA 98034-4290 | |
(425) 820-2447 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Massage Therapist |
Location | 12040 98th Ave Ne, Kirkland, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285774984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH00003215 (Washington) | Secondary |
225700000X | Massage Therapist | MA60341077 (Washington) | Primary |
Mailing Address | Practice Location Address |
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12040 98th Ave Ne, Suite 103, Kirkland, WA 98034-4290 Ph: (425) 820-2447 | 12040 98th Ave Ne, Suite 103, Kirkland, WA 98034-4290 Ph: (425) 820-2447 |