Provider Demographics
NPI:1659442754
Name:CASCADIA CENTER FOR MASSAGE
Entity Type:Organization
Organization Name:CASCADIA CENTER FOR MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:KUNZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:360-752-9595
Mailing Address - Street 1:2301 ELM ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-2845
Mailing Address - Country:US
Mailing Address - Phone:360-752-9595
Mailing Address - Fax:360-752-1975
Practice Address - Street 1:2301 ELM ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2845
Practice Address - Country:US
Practice Address - Phone:360-752-9595
Practice Address - Fax:360-752-1975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA200773OtherLABOR AND INDUSTRIES