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EASTSIDE MASSAGE CLINIC INC. NPI 1982066676


NPI Information

NPI: 1982066676
Provider Name: EASTSIDE MASSAGE CLINIC, INC.
Classification: Massage Therapist - 225700000X
Entity Type: Organization

CLIA Number: 50D2213223

Address:
13555 BEL RED RD
SUITE 205
BELLEVUE, WA
ZIP 98005
Phone: (425) 455-2320
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EASTSIDE MASSAGE CLINIC, 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. EASTSIDE MASSAGE CLINIC, INC. NPI is 1982066676. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

13555 BEL RED RD
SUITE 205
BELLEVUE, WA
ZIP 98005-397
Phone: (425) 455-2320
Fax: (425) 455-2473

The provider's authorized official is Lynn A. Dalton .
The authorized official title is Owner/president and has the following contact phone number (425) 455-2320.

The CLIA number assigned to this NPI record is 50D2213223 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2016 and was last updated on 3/22/2016.


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
1225700000XMassage TherapistMA60129791WASHINGTONNo
2225700000XMassage TherapistMA00020094WASHINGTONNo
3225700000XMassage TherapistMA60204513WASHINGTONNo
4225700000XMassage TherapistMA60303920WASHINGTONNo
5225700000XMassage TherapistMA60333626WASHINGTONNo
6225700000XMassage TherapistNo
7225700000XMassage TherapistMA00013518WASHINGTONYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.