PROFESSIONAL RECREATION ORGANIZATION INC. NPI 1780100438

NPI Information

  • NPI: 1780100438
  • Provider Name: PROFESSIONAL RECREATION ORGANIZATION, INC.
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Doing Business As: PRO SPORTS CLUB
  • Address: 4455 148TH AVE NE
    BELLEVUE, WA
    ZIP 98007
  • Phone: (425) 895-6575

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NPI Details

PROFESSIONAL RECREATION ORGANIZATION, INC. is a massage therapist in Bellevue, 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. PROFESSIONAL RECREATION ORGANIZATION, INC. NPI is 1780100438. The provider is registered as an organization entity type.
The provider Is Doing Business As Pro Sports Club.

The provider's business location address is:

4455 148TH AVE NE
BELLEVUE, WA
ZIP 98007-120
Phone: (425) 895-6575

The provider's authorized official is Debbie Becker .
The authorized official title is Sr Director Of Accounting and has the following contact phone number (425) 869-4746.

The enumeration date for this NPI number is 8/15/2017 and was last updated on 7/21/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-Specialty600541508WASHINGTONNo
2225700000XMassage Therapist600541508WASHINGTONYes

What is NPI?

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This page was last updated on: 11/21/2025

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