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INTEGRATED CENTER FOR OPTIMUM HEALTH LLC NPI 1407053192


NPI Information

NPI: 1407053192
Provider Name: INTEGRATED CENTER FOR OPTIMUM HEALTH, LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
2505 2ND AVE STE 100
SEATTLE, WA
ZIP 98121
Phone: (206) 624-4020
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INTEGRATED CENTER FOR OPTIMUM HEALTH, LLC is a massage therapist in Seattle, 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. INTEGRATED CENTER FOR OPTIMUM HEALTH, LLC NPI is 1407053192. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2505 2ND AVE STE 100
SEATTLE, WA
ZIP 98121
Phone: (206) 624-4020
Fax: (206) 443-3888

The provider's authorized official is Paul De Beijl .
The authorized official title is Owner and has the following contact phone number (206) 623-2220.

The enumeration date for this NPI number is 6/27/2007 and was last updated on 4/13/2022.


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
1171100000XAcupuncturistAC00002074WASHINGTONNo
2225700000XMassage TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1162840OTHERWASHINGTONL&I GROUP #

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

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