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Organization
REBELLE THERAPY PLLC
Active
Organization
REBELLE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE IDA KARDOS DACHM, LAC, LMT (OWNER)
(206) 687-5727
Entity
Organization
Contact information
Practice address
2120 1ST AVE N UNIT B10, SEATTLE, WA 98109-2301
(206) 414-8115
Mailing address
2120 1ST AVE N UNIT B10, SEATTLE, WA 98109-2301
(206) 414-8115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
171100000X
Acupuncturist
Primary
—
NULL
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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