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Organization

HEALING PONDS NORTHWEST LLC

Active
Other names
Sports Medicine Northwest
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA XENIA POND EAMP (OWNER)
(206) 795-6462
Entity
Organization

Contact information

Practice address
2324 CALIFORNIA AVE SW, SEATTLE, WA 98116-2403
(206) 682-0676
(206) 623-0397
Mailing address
2324 CALIFORNIA AVE SW, SEATTLE, WA 98116-2403
(206) 682-0676

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60076566
WA
171100000X
Acupuncturist
AC60091482
225700000X
Massage Therapist

Other

Enumeration date
12/09/2011
Last updated
01/25/2019
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