Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA00019576 | WA |
NPI | 1023100757 |
---|---|
Provider Name | Miss Natasha R Ewing |
First Address | Seattle, WA 98199 |
Second Address | Seattle, WA 98199 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 08/07/2007 |