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CRYSALIS LLC NPI 1164736104


NPI Information

NPI: 1164736104
Provider Name: CRYSALIS, LLC

Doing Business As: CRYSALIS WELLNESS CENTER

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
800 5TH AVE
SUITE 200
SEATTLE, WA
ZIP 98104
Phone: (206) 407-3068
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CRYSALIS, LLC is a specialist in Seattle, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CRYSALIS, LLC NPI is 1164736104. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Crysalis Wellness Center.

The provider's business location address is:

800 5TH AVE
SUITE 200
SEATTLE, WA
ZIP 98104-176
Phone: (206) 407-3068

The provider's authorized official is Kathleen J. Reust .
The authorized official title is Partner and has the following contact phone number (206) 407-3068.

The enumeration date for this NPI number is 8/2/2010 and was last updated on 8/2/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorWASHINGTONNo
2133N00000XNutritionistNo
3171100000XAcupuncturistNo
4175F00000XNaturopathNo
5174400000XSpecialistMA00005185WASHINGTONYes

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: 11/14/2023

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