Healthcare Provider Details

I. General information

NPI: 1386578656
Provider Name (Legal Business Name): SARAH J WERNSING LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4804 20TH AVE NW
SEATTLE WA
98107-4805
US

IV. Provider business mailing address

6723 4TH AVE NW
SEATTLE WA
98117-5009
US

V. Phone/Fax

Practice location:
  • Phone: 419-250-7517
  • Fax:
Mailing address:
  • Phone: 419-250-7517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number60947053
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: