Provider Demographics
NPI:1295546653
Name:EPIONE HEALING LLC
Entity type:Organization
Organization Name:EPIONE HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARKS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-457-6532
Mailing Address - Street 1:8460 164TH AVE NE # 100
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-1503
Mailing Address - Country:US
Mailing Address - Phone:425-667-5973
Mailing Address - Fax:425-650-9999
Practice Address - Street 1:8460 164TH AVE NE # 100
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-1503
Practice Address - Country:US
Practice Address - Phone:425-667-5973
Practice Address - Fax:425-650-9999
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EPIONE HEALING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-15
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy