Organization
EASTSIDE MASSAGE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN A. DALTON LMP (OWNER/PRESIDENT)
(425) 455-2320
Entity
Organization
Contact information
Practice address
13555 BEL RED RD, SUITE 205, BELLEVUE, WA 98005-2397
(425) 455-2320
(425) 455-2473
Mailing address
13555 BEL RED RD, SUITE 205, BELLEVUE, WA 98005-2397
(425) 455-2320
(425) 455-2473
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00013518
WA
225700000X
Massage Therapist
MA00020094
WA
225700000X
Massage Therapist
MA60129791
WA
225700000X
Massage Therapist
MA60204513
WA
225700000X
Massage Therapist
MA60303920
WA
225700000X
Massage Therapist
MA60333626
WA
225700000X
Massage Therapist
—
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Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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