Healthcare Provider Details

I. General information

NPI: 1851204242
Provider Name (Legal Business Name): MARINA SADOVNIKOVA LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 120TH AVE NE BDLG D STE 100
BELLEVUE WA
98005-3024
US

IV. Provider business mailing address

15 SW EVERETT MALL WAY STE G
EVERETT WA
98204-2715
US

V. Phone/Fax

Practice location:
  • Phone: 425-688-0223
  • Fax: 425-688-0323
Mailing address:
  • Phone: 425-355-5222
  • Fax: 425-355-5231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA.70140362
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: