Healthcare Provider Details

I. General information

NPI: 1124983614
Provider Name (Legal Business Name): NICOLE MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 E JEFFERSON ST STE 501
SEATTLE WA
98122-5570
US

IV. Provider business mailing address

1401 E JEFFERSON ST STE 501
SEATTLE WA
98122-5570
US

V. Phone/Fax

Practice location:
  • Phone: 206-324-2225
  • Fax: 206-324-5244
Mailing address:
  • Phone: 206-324-2225
  • Fax: 206-324-5244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: