Provider Demographics
NPI:1235796418
Name:SOUND HEALING LLC
Entity Type:Organization
Organization Name:SOUND HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL-PRICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:206-817-0524
Mailing Address - Street 1:125 S 156TH ST
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98148-1220
Mailing Address - Country:US
Mailing Address - Phone:206-817-0524
Mailing Address - Fax:253-220-8034
Practice Address - Street 1:125 S 156TH ST
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98148-1220
Practice Address - Country:US
Practice Address - Phone:206-817-0524
Practice Address - Fax:253-220-8034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-23
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA82-1080846Medicaid
WA1467518290Medicaid