Provider Demographics
NPI:1598432106
Name:ENDLESS MOUNTAINS HOLISTIC HEALTH, LLC
Entity Type:Organization
Organization Name:ENDLESS MOUNTAINS HOLISTIC HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTHRIE
Authorized Official - Suffix:
Authorized Official - Credentials:ND, LAC
Authorized Official - Phone:206-603-5353
Mailing Address - Street 1:1141 N 91ST ST UNIT 304
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4165
Mailing Address - Country:US
Mailing Address - Phone:570-396-4593
Mailing Address - Fax:
Practice Address - Street 1:1800 SW 152ND ST STE 200
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-1700
Practice Address - Country:US
Practice Address - Phone:570-396-4593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty