Healthcare Provider Details

I. General information

NPI: 1477035368
Provider Name (Legal Business Name): RELAXING RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2018
Last Update Date: 09/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22443 SE 240TH ST STE 206
MAPLE VALLEY WA
98038-5879
US

IV. Provider business mailing address

22443 SE 240TH ST STE 206
MAPLE VALLEY WA
98038-5879
US

V. Phone/Fax

Practice location:
  • Phone: 425-358-3070
  • Fax: 425-413-6797
Mailing address:
  • Phone: 425-358-3070
  • Fax: 425-413-6797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number602602208
License Number StateWA

VIII. Authorized Official

Name: MRS. CATHERINE ANGEHRN
Title or Position: BILLING COORDINATOR
Credential:
Phone: 425-358-3070