Provider Demographics
NPI:1164728168
Name:EASE THERAPEUTIC BODYWORK PLLC
Entity Type:Organization
Organization Name:EASE THERAPEUTIC BODYWORK PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:206-329-2026
Mailing Address - Street 1:1202 E PINE ST
Mailing Address - Street 2:STE103
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-3929
Mailing Address - Country:US
Mailing Address - Phone:206-329-2026
Mailing Address - Fax:206-629-2101
Practice Address - Street 1:1202 E PINE ST
Practice Address - Street 2:STE103
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-3929
Practice Address - Country:US
Practice Address - Phone:206-329-2026
Practice Address - Fax:206-629-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603043577174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty