# FEEDING THERAPY FOR KIDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265171078
- **Authorized official:** TANIS RUSIN (OWNER)
- **Authorized official phone:** (425) 341-3108

## Contact information

- **Practice address:** 12026 17TH AVE NE, SEATTLE, WA 98125-5116
- **Practice address phone:** (425) 686-9438
- **Mailing address:** 4730 UNIVERSITY WAY NE STE 104, SEATTLE, WA 98105-4424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/31/2022
- **Last updated:** 05/31/2022