Healthcare Provider Details

I. General information

NPI: 1356250963
Provider Name (Legal Business Name): EMILY REINL LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JUDE REINL LMT

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9714 3RD AVE NE STE 103
SEATTLE WA
98115-2047
US

IV. Provider business mailing address

1631 BELMONT AVE APT 207
SEATTLE WA
98122-2332
US

V. Phone/Fax

Practice location:
  • Phone: 206-527-9709
  • Fax:
Mailing address:
  • Phone: 916-616-7677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number70168408
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: