Provider Demographics
NPI:1518365261
Name:SEATTLE ASIAN MEDICINE AND MARTIAL ARTS PLLC
Entity Type:Organization
Organization Name:SEATTLE ASIAN MEDICINE AND MARTIAL ARTS PLLC
Other - Org Name:SEATTLE ASIAN MEDICINE AND MARTIAL ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPA MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:WANDA
Authorized Official - Last Name:CASHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-363-0471
Mailing Address - Street 1:12025 LAKE CITY WAY NE
Mailing Address - Street 2:SUITE B
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-5331
Mailing Address - Country:US
Mailing Address - Phone:206-363-0471
Mailing Address - Fax:
Practice Address - Street 1:12025 LAKE CITY WAY NE
Practice Address - Street 2:SUITE B
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-5331
Practice Address - Country:US
Practice Address - Phone:206-363-0471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023022225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty