Provider Demographics
NPI:1164063657
Name:OHASHI, DAHLIA ALICIA (LMT)
Entity Type:Individual
Prefix:
First Name:DAHLIA
Middle Name:ALICIA
Last Name:OHASHI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:DAHLIA
Other - Middle Name:ALICIA
Other - Last Name:JIMENEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:250 MARKET ST STE 102
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-4811
Mailing Address - Country:US
Mailing Address - Phone:206-719-5229
Mailing Address - Fax:
Practice Address - Street 1:250 MARKET ST STE 102
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-4811
Practice Address - Country:US
Practice Address - Phone:206-719-5229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-05
Last Update Date:2019-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60897077225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist