Organization
FEEDING THERAPY FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIS RUSIN (OWNER)
(425) 341-3108
Entity
Organization
Contact information
Practice address
12026 17TH AVE NE, SEATTLE, WA 98125-5116
(425) 686-9438
Mailing address
4730 UNIVERSITY WAY NE STE 104, SEATTLE, WA 98105-4424
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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