Provider Demographics
NPI:1538300959
Name:SOLSTICE SPA & SUITES,LTD
Entity Type:Organization
Organization Name:SOLSTICE SPA & SUITES,LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMBRA
Authorized Official - Middle Name:R M
Authorized Official - Last Name:ZIMMERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-548-7515
Mailing Address - Street 1:925 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:WA
Mailing Address - Zip Code:98826-1413
Mailing Address - Country:US
Mailing Address - Phone:509-548-7515
Mailing Address - Fax:509-548-7894
Practice Address - Street 1:925 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:WA
Practice Address - Zip Code:98826-1413
Practice Address - Country:US
Practice Address - Phone:509-548-7515
Practice Address - Fax:509-548-7894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-14
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty