Provider Demographics
NPI:1841413366
Name:SEDNA AND ASSOCIATES INC
Entity Type:Organization
Organization Name:SEDNA AND ASSOCIATES INC
Other - Org Name:MOON LODGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO & LMP
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MULLIN - BAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:425-392-4700
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-0001
Mailing Address - Country:US
Mailing Address - Phone:425-392-4700
Mailing Address - Fax:425-392-3118
Practice Address - Street 1:4562 KLAHANIE DR SE
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-5812
Practice Address - Country:US
Practice Address - Phone:425-392-4700
Practice Address - Fax:425-392-3118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
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