Healthcare Provider Details

I. General information

NPI: 1447176599
Provider Name (Legal Business Name): THE LADIES ROOM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8538 1ST AVE NW
SEATTLE WA
98117-3059
US

IV. Provider business mailing address

8538 1ST AVE NW
SEATTLE WA
98117-3059
US

V. Phone/Fax

Practice location:
  • Phone: 206-466-2374
  • Fax:
Mailing address:
  • Phone: 206-466-2374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHRISTY RENEE DONNELLY
Title or Position: CEO/FOUNDER
Credential:
Phone: 206-799-2655