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STILL WATERS THERAPEUTIC PLLC NPI 1457565327


NPI Information

NPI: 1457565327
Provider Name: STILL WATERS THERAPEUTIC PLLC

Other Name: LIMITED LIABILITY COMPANY

Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
22000 MARINE VIEW DR SO SUITE 202
DES MOINES, WA
ZIP 98198
Phone: (206) 235-1958
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STILL WATERS THERAPEUTIC PLLC is a massage therapist in Des Moines, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. STILL WATERS THERAPEUTIC PLLC NPI is 1457565327. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Limited Liability Company.

The provider's business location address is:

22000 MARINE VIEW DR SO SUITE 202
DES MOINES, WA
ZIP 98198
Phone: (206) 235-1958
Fax: (206) 235-1958

The provider's authorized official is Leslie Anne Mathe Sivret .
The authorized official title is Owner Manager and has the following contact phone number (206) 235-1958.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 7/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMA00015674WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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