Provider Demographics
NPI: | 1841413366 |
---|---|
Name: | SEDNA AND ASSOCIATES INC |
Entity type: | Organization |
Organization Name: | SEDNA AND ASSOCIATES INC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
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? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | Group - Single Specialty |