Provider Demographics
NPI:1538702394
Name:ASHI EMPIRE BAREFOOT THERAPY PLLC
Entity Type:Organization
Organization Name:ASHI EMPIRE BAREFOOT THERAPY PLLC
Other - Org Name:ASHI EMPIRE BAREFOOT THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:PEREIRA
Authorized Official - Last Name:O NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:206-397-6205
Mailing Address - Street 1:16720 116TH AVE SE STE 5
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-5277
Mailing Address - Country:US
Mailing Address - Phone:206-856-8831
Mailing Address - Fax:425-277-0445
Practice Address - Street 1:16720 116TH AVE SE STE 5
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-5277
Practice Address - Country:US
Practice Address - Phone:206-856-8831
Practice Address - Fax:425-277-0445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty