Provider Demographics
NPI:1073829172
Name:ADEPT THERAPEUTIC MASSAGE
Entity Type:Organization
Organization Name:ADEPT THERAPEUTIC MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:FRANCINE
Authorized Official - Last Name:TSOURMAS
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:512-657-4504
Mailing Address - Street 1:600 1ST AVE
Mailing Address - Street 2:#631
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104
Mailing Address - Country:US
Mailing Address - Phone:206-708-2474
Mailing Address - Fax:206-542-0646
Practice Address - Street 1:600 1ST AVE
Practice Address - Street 2:#631
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-708-2474
Practice Address - Fax:206-452-0646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00013997172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Single Specialty