MEDICARE: MRS. DANA ELIZABETH QUADE LMP MASSAGE RC COUNS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	RC00021989	WA
2	225700000X	Massage Therapist	MA00006316	WA

General Provider Information

NPI Number	:	1235295106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANA ELIZABETH QUADE LMP MASSAGE RC COUNS

Provider Business Mailing Address
First Line	:	31411 12TH AVE SW
Second Line	:
City	:	FEDERAL WAY
State	:	WA
Zip	:	98023-4505
Country	:	US
Telephone Number	:	253-839-8247
Fax Number	:	253-839-8247

Provider Business Practice Location Address
First Line	:	16704 PACIFIC HWY S
Second Line	:	SEA TAC CHIROPRACTIC CENTER
City	:	SEATTLE
State	:	WA
Zip	:	98188
Country	:	US
Telephone Number	:	206-246-8830
Fax Number	:	206-244-4690

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	09/11/2025

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