Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 60900934 | WA |
NPI | 1013480086 |
---|---|
Provider Name | Alicia Ann Steenis |
First Address | Seattle, WA 98107-3037 |
Second Address | Seattle, WA 98103-8753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2019 |
Last Update Date | 02/01/2019 |