Organization
12TH AVE. MASSAGE & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIZA WINSHIP-FREYER (LMP/OWNER)
(206) 261-6974
Entity
Organization
Contact information
Practice address
6121 12TH AVE NE UNIT C, SEATTLE, WA 98115-6703
(206) 261-6974
Mailing address
6121 12TH AVE NE UNIT C, SEATTLE, WA 98115-6703
(206) 261-6974
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA00025256
WA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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