| |
13128 Totem Lake Blvd, Suite #203, Kirkland, WA 98034 | |
(425) 820-8837 | |
(425) 820-7009 |
Full Name | |
---|---|
Type | Facility |
Speciality | Massage Therapist |
Location | 13128 Totem Lake Blvd, Kirkland, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871633610 | NPI | - | NPPES |
0194783 | Other | WA | LABOR & INDUSTRIES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (Washington) | Primary |
225700000X | Massage Therapist | (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
13128 Totem Lake Blvd, Suite #203, Kirkland, WA 98034 Ph: (425) 820-8837 | 13128 Totem Lake Blvd, Suite #203, Kirkland, WA 98034 Ph: (425) 820-8837 |