Healthcare Provider Details

I. General information

NPI: 1295546653
Provider Name (Legal Business Name): EPIONE HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8460 164TH AVE NE # 100
REDMOND WA
98052-1503
US

IV. Provider business mailing address

8460 164TH AVE NE # 100
REDMOND WA
98052-1503
US

V. Phone/Fax

Practice location:
  • Phone: 425-667-5973
  • Fax: 425-650-9999
Mailing address:
  • Phone: 425-667-5973
  • Fax: 425-650-9999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MOLLY SPARKS
Title or Position: OWNER
Credential: DC
Phone: 425-457-6532