Healthcare Provider Details

I. General information

NPI: 1306173364
Provider Name (Legal Business Name): NATASA DRAGAS LMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2009
Last Update Date: 11/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

557 ROY ST SUITE 100
SEATTLE WA
98109-4219
US

IV. Provider business mailing address

557 ROY ST. SUITE 100
SEATTLE WA
98109
US

V. Phone/Fax

Practice location:
  • Phone: 206-285-1068
  • Fax: 206-285-0821
Mailing address:
  • Phone: 206-285-1068
  • Fax: 206-285-0821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00022794
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: