Provider Demographics
NPI:1073051488
Name:CASCADIA MASSAGE
Entity Type:Organization
Organization Name:CASCADIA MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LISCENSED MASSAGE PRACTIONER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:CHAMBERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-697-4124
Mailing Address - Street 1:1025 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-3043
Mailing Address - Country:US
Mailing Address - Phone:206-697-4124
Mailing Address - Fax:
Practice Address - Street 1:1025 S STATE ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-3043
Practice Address - Country:US
Practice Address - Phone:206-697-4124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60683459225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty