Organization
FOSTER WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG LEWERENZ EAMP, LMP (OWNER/PRACTITIONER)
(206) 856-4096
Entity
Organization
Contact information
Practice address
4300 36TH AVE W STE 130, SEATTLE, WA 98199-1675
(206) 856-4096
(206) 267-9491
Mailing address
4300 36TH AVE W STE 130, SEATTLE, WA 98199-1675
(206) 856-4096
(206) 267-9491
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60114046
WA
225700000X
Massage Therapist
MA00023193
WA
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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