Healthcare Provider Details
I. General information
NPI: 1285568717
Provider Name (Legal Business Name): BOTHELL INTEGRATED HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18920 BOTHELL WAY NE STE 204
BOTHELL WA
98011-1981
US
IV. Provider business mailing address
18920 BOTHELL WAY NE STE 204
BOTHELL WA
98011-1981
US
V. Phone/Fax
- Phone: 425-424-3730
- Fax:
- Phone: 425-424-3730
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BULENT
JOSEPH
ERKAN
Title or Position: OWNER
Credential: LMT
Phone: 425-424-3730