Provider Demographics
NPI:1235295106
Name:QUADE, DANA ELIZABETH (LMP MASSAGE RC COUNS)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:ELIZABETH
Last Name:QUADE
Suffix:
Gender:F
Credentials:LMP MASSAGE RC COUNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31411 12TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-4505
Mailing Address - Country:US
Mailing Address - Phone:253-839-8247
Mailing Address - Fax:253-839-8247
Practice Address - Street 1:16704 PACIFIC HWY S
Practice Address - Street 2:SEA TAC CHIROPRACTIC CENTER
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98188
Practice Address - Country:US
Practice Address - Phone:206-246-8830
Practice Address - Fax:206-244-4690
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00021989101Y00000X
WAMA00006316225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist