ANJILLIA DIBAUM NPI 1538585781

NPI Information

NPI: 1538585781
Provider Name: ANJILLIA DIBAUM

Doing Business As: KULA MOVEMENT

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
5340 BALLARD AVE NW
SEATTLE, WA
ZIP 98107
Phone: (206) 972-2999
Get Directions

ANJILLIA DIBAUM is a community health clinic center in Seattle, WA. ANJILLIA DIBAUM NPI is 1538585781. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Kula Movement.

The provider's business location address is:

5340 BALLARD AVE NW
SEATTLE, WA
ZIP 98107-060
Phone: (206) 972-2999

The provider's authorized official is Angela Mae Baumgardner .
The authorized official title is Owner and has the following contact phone number (206) 972-2999.

The enumeration date for this NPI number is 3/12/2014 and was last updated on 3/12/2014.

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
1	103TP2701X	Psychologist	Group Psychotherapy			No
2	133N00000X	Nutritionist			WASHINGTON	No
3	171100000X	Acupuncturist			WASHINGTON	No
4	175F00000X	Naturopath			WASHINGTON	No
5	225700000X	Massage Therapist			MASSACHUSETTS	No
6	261QC1500X	Clinic/Center	Community Health	602902322	WASHINGTON	Yes

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: 4/28/2024

NPI Synchronization or Removal

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