Healthcare Provider Details

I. General information

NPI: 1831094861
Provider Name (Legal Business Name): SEA TO SKY ORTHO MASSAGE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7631 212TH ST SW STE 105B
EDMONDS WA
98026-7565
US

IV. Provider business mailing address

7631 212TH ST SW STE 105B
EDMONDS WA
98026-7565
US

V. Phone/Fax

Practice location:
  • Phone: 206-565-4700
  • Fax:
Mailing address:
  • Phone: 206-565-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. SAID YAAQOUBI
Title or Position: MASSAGE THERAPIST LEAD
Credential: LMT
Phone: 206-565-4700