# 12TH AVE. MASSAGE & WELLNESS

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

## Provider details

- **NPI number:** 1538591359
- **Authorized official:** ALIZA WINSHIP-FREYER (LMP/OWNER)
- **Authorized official phone:** (206) 261-6974

## Contact information

- **Practice address:** 6121 12TH AVE NE UNIT C, SEATTLE, WA 98115-6703
- **Practice address phone:** (206) 261-6974
- **Mailing address:** 6121 12TH AVE NE UNIT C, SEATTLE, WA 98115-6703
- **Mailing address phone:** (206) 261-6974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | MA00025256 | WA | Yes |

## Other

- **Enumeration date:** 08/02/2013
- **Last updated:** 08/02/2013
