Provider Demographics
NPI:1427568872
Name:THERAPEUTIC BODYWORKS
Entity Type:Organization
Organization Name:THERAPEUTIC BODYWORKS
Other - Org Name:ELISABETH MORGAN, LMP
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/LMP
Authorized Official - Prefix:
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-551-2857
Mailing Address - Street 1:19031 33RD AVE W STE 315
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4731
Mailing Address - Country:US
Mailing Address - Phone:206-551-2857
Mailing Address - Fax:
Practice Address - Street 1:19031 33RD AVE W STE 315
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4731
Practice Address - Country:US
Practice Address - Phone:206-551-2857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00019206261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center