Provider Demographics
NPI:1093393092
Name:HEALING FOR SENIORS
Entity Type:Organization
Organization Name:HEALING FOR SENIORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BANNWART
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:206-240-5186
Mailing Address - Street 1:11844 22ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98146-2501
Mailing Address - Country:US
Mailing Address - Phone:206-240-5186
Mailing Address - Fax:425-224-3691
Practice Address - Street 1:840 MADISON AVE N
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-1701
Practice Address - Country:US
Practice Address - Phone:206-240-5186
Practice Address - Fax:425-224-3691
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALING FOR SENIORS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty