Healthcare Provider Details

I. General information

NPI: 1225667025
Provider Name (Legal Business Name): ESTRELLITA D VALENZUELA RAMOS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10242 16TH AVE SW
SEATTLE WA
98146-1432
US

IV. Provider business mailing address

13101 64TH AVE S
SEATTLE WA
98178-4619
US

V. Phone/Fax

Practice location:
  • Phone: 206-764-9600
  • Fax:
Mailing address:
  • Phone: 206-949-4342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA61053382
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number12832
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: