Provider Demographics
NPI:1164009734
Name:TONYS MASSAGE
Entity Type:Organization
Organization Name:TONYS MASSAGE
Other - Org Name:RICHARD POLLARD LMP
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:POLLARD
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:206-941-0894
Mailing Address - Street 1:838 NE 98TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2141
Mailing Address - Country:US
Mailing Address - Phone:206-941-0894
Mailing Address - Fax:425-224-3691
Practice Address - Street 1:425 N 36TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8630
Practice Address - Country:US
Practice Address - Phone:206-941-0894
Practice Address - Fax:425-224-3691
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RICHARD POLLARD LMP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-28
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty