Healthcare Provider Details

I. General information

NPI: 1518821198
Provider Name (Legal Business Name): VALA STIMSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 E PINE ST STE P
SEATTLE WA
98122-2378
US

IV. Provider business mailing address

1717 12TH AVE APT 307
SEATTLE WA
98122-2472
US

V. Phone/Fax

Practice location:
  • Phone: 206-851-2242
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA61204958
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: