Provider Demographics
NPI:1740641810
Name:ALPHA RHYTHMS
Entity type:Organization
Organization Name:ALPHA RHYTHMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLEE
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:BALLINGHAM-BILES
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:509-424-3796
Mailing Address - Street 1:1605 SUMMITVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-2944
Mailing Address - Country:US
Mailing Address - Phone:509-424-3796
Mailing Address - Fax:
Practice Address - Street 1:1605 SUMMITVIEW AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-2944
Practice Address - Country:US
Practice Address - Phone:509-424-3796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00022936225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty