Organization
EMERALD VINE PLLC
Active
Other names
Emerald Vine Massage
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAINA MARIKO AKIDAU LMP (OWNER)
(206) 347-0777
Entity
Organization
Contact information
Practice address
142 NW CANAL ST, SEATTLE, WA 98107-4933
(206) 347-0777
(888) 254-3281
Mailing address
142 NW CANAL ST, SEATTLE, WA 98107-4933
(206) 347-0777
(888) 254-3281
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00025243
WA
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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