Healthcare Provider Details

I. General information

NPI: 1720992365
Provider Name (Legal Business Name): CLASSIC MASSAGE COLLECTIVE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 AVENUE D STE D205
SNOHOMISH WA
98290-2004
US

IV. Provider business mailing address

1101 AVENUE D STE D205
SNOHOMISH WA
98290-2004
US

V. Phone/Fax

Practice location:
  • Phone: 360-217-8467
  • Fax: 425-256-7571
Mailing address:
  • Phone: 425-268-0375
  • Fax: 425-256-7571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MEGAN ANNE WILLIAMS
Title or Position: OWNER
Credential: LMT
Phone: 425-268-0375