Provider Demographics
NPI:1407138779
Name:SAYLOR, ERIC RUMANA (LMT, LMP)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:RUMANA
Last Name:SAYLOR
Suffix:
Gender:M
Credentials:LMT, LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10832 12TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-6406
Mailing Address - Country:US
Mailing Address - Phone:206-947-1024
Mailing Address - Fax:
Practice Address - Street 1:10832 12TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-6406
Practice Address - Country:US
Practice Address - Phone:206-947-1024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2011-2852225700000X
WAMA60222106225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist