Healthcare Provider Details

I. General information

NPI: 1548184765
Provider Name (Legal Business Name): HOLLY ANDREA HAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9420 LINDEN AVE N
SEATTLE WA
98103-3231
US

IV. Provider business mailing address

9420 LINDEN AVE N
SEATTLE WA
98103-3231
US

V. Phone/Fax

Practice location:
  • Phone: 661-889-0812
  • Fax:
Mailing address:
  • Phone: 661-889-0812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number60055802
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: