Provider Demographics
NPI:1891918678
Name:CYNTHIA KAWAFUNE
Entity Type:Organization
Organization Name:CYNTHIA KAWAFUNE
Other - Org Name:EARTHWISE HEALING ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:KAWAFUNE
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:360-403-3075
Mailing Address - Street 1:437 N OLYMPIC AVE STE C
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-1299
Mailing Address - Country:US
Mailing Address - Phone:360-403-3075
Mailing Address - Fax:
Practice Address - Street 1:437 N OLYMPIC AVE STE C
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1299
Practice Address - Country:US
Practice Address - Phone:360-403-3075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA7766174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty