Healthcare Provider Details

I. General information

NPI: 1801191804
Provider Name (Legal Business Name): TIMNA ELISABETH SCHULZE LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2011
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18606 BOTHELL WAY NE
BOTHELL WA
98011-1929
US

IV. Provider business mailing address

7718 NE 167TH ST
KENMORE WA
98028-4428
US

V. Phone/Fax

Practice location:
  • Phone: 425-686-7657
  • Fax: 256-063-1924
Mailing address:
  • Phone: 425-286-4879
  • Fax: 425-606-3192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA 00025154
License Number StateWA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: