Provider Demographics
NPI:1750854667
Name:ALCARAZ THERAPEUTIC MASSAGE LLC
Entity Type:Organization
Organization Name:ALCARAZ THERAPEUTIC MASSAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ALCARAZ
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:206-931-6502
Mailing Address - Street 1:11524 15TH AVE NE STE D
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-6357
Mailing Address - Country:US
Mailing Address - Phone:206-403-5879
Mailing Address - Fax:206-913-2102
Practice Address - Street 1:11524 15TH AVE NE STE D
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-6357
Practice Address - Country:US
Practice Address - Phone:206-403-5879
Practice Address - Fax:206-913-2102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty