Healthcare Provider Details

I. General information

NPI: 1518871474
Provider Name (Legal Business Name): JOHN B SIANO LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: GIOVANNI SIANO LMT

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9028 10TH AVE SW
SEATTLE WA
98106-2541
US

IV. Provider business mailing address

9028 10TH AVE SW
SEATTLE WA
98106-2541
US

V. Phone/Fax

Practice location:
  • Phone: 205-586-9077
  • Fax:
Mailing address:
  • Phone: 205-586-9077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA61461864
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: