Provider Demographics
NPI:1700203478
Name:HOARD, ARIANA BEVIN (LMT)
Entity Type:Individual
Prefix:MRS
First Name:ARIANA
Middle Name:BEVIN
Last Name:HOARD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:ARIANA
Other - Middle Name:BEVIN
Other - Last Name:KNESEBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:3601 FREMONT AVE N STE 209
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8753
Mailing Address - Country:US
Mailing Address - Phone:206-853-1540
Mailing Address - Fax:253-856-8754
Practice Address - Street 1:1202 E PINE ST UNIT 103
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-3929
Practice Address - Country:US
Practice Address - Phone:206-853-1540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60449594172M00000X
WAMA60449594225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No172M00000XOther Service ProvidersMechanotherapist