| Bodylogicmd Of Seattle | |
|
811 1st Ave Ste 626 Suite 626 Seattle WA 98104-1434 | |
| (206) 351-7516 | |
| Not Available |
| Full Name | Bodylogicmd Of Seattle |
|---|---|
| Speciality | Clinic/center |
| Location | 811 1st Ave Ste 626, Seattle, Washington |
| Authorized Official Name and Position | Kathryn Jane Elliott (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2063517516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodylogicmd Of Seattle 2817 E Park Dr E Seattle WA 98112-2003 Ph: (206) 351-7516 | Bodylogicmd Of Seattle 811 1st Ave Ste 626 Suite 626 Seattle WA 98104-1434 Ph: (206) 351-7516 |
| NPI Number | 1710305420 |
|---|---|
| Provider Enumeration Date | 03/31/2014 |
| Last Update Date | 03/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710305420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 60308596 (Washington) | Primary |
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