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General NPI Number Information
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NPI Number | 1679992333
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Entity Type | Organization
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Legal Business Name | JON K. OKAMI, LMP
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 3400 HARBOR AVE SW STE 452
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City | SEATTLE
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State | WA
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Zip | 98126-2394
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Country | US
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Telephone | 206-697-5001
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Fax |
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Provider Business Mailing Address
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Address Line | 4815 15TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98108-1855
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JON KEN OKAMI
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Credential | LMP
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Telephone | 206-697-5001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA10380
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License Number State | WA
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