Provider Demographics
NPI:1932951514
Name:TEEVIN, ASPIN (LMT)
Entity Type:Individual
Prefix:
First Name:ASPIN
Middle Name:
Last Name:TEEVIN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:ASPIN
Other - Middle Name:
Other - Last Name:BOWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6230 HARBOUR HEIGHTS PKWY
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-4887
Mailing Address - Country:US
Mailing Address - Phone:206-257-9131
Mailing Address - Fax:
Practice Address - Street 1:11601 HARBOUR POINTE BLVD STE 201
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-5262
Practice Address - Country:US
Practice Address - Phone:425-341-3680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00024267225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist