Healthcare Provider Details

I. General information

NPI: 1538071071
Provider Name (Legal Business Name): SAMIRA WILLIAMS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18725 SMOKEY POINT BLVD
ARLINGTON WA
98223-8713
US

IV. Provider business mailing address

6817 20TH DR NE
TULALIP WA
98271-9141
US

V. Phone/Fax

Practice location:
  • Phone: 360-657-4810
  • Fax:
Mailing address:
  • Phone: 425-999-7920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASS.MA.70180950
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: