MEDICARE: THE MYOSPACE OF SEATTLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist

General Provider Information

NPI Number	:	1003600073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MYOSPACE OF SEATTLE

Provider Business Mailing Address
First Line	:	21022 47TH AVENUE CT E
Second Line	:
City	:	SPANAWAY
State	:	WA
Zip	:	98387-6079
Country	:	US
Telephone Number	:	813-944-7757
Fax Number	:

Provider Business Practice Location Address
First Line	:	3278B CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-3305
Country	:	US
Telephone Number	:	206-954-4855
Fax Number	:

Authorized Official
Title or Position	:	OROFACIAL MYOFUNCTIONAL THERAPIST
Name	:	NATALIA WILLIAMS
Credential	:	RDH, OMT
Telephone Number	:	813-944-7757

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	03/05/2026

Similar Medicare Providers

1790594984 — NATALIA WILLIAMS RDH, OMT
Practice Location Address:

3278B CALIFORNIA AVE SW
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98116-3305

Practice Phone: 206-954-4855
Practice Fax:

1891918470 — DR. KATHLEEN SATURAY DDS
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1598060758 — DR. RYAN MACKENZIE CAMPBELL N.D., L.AC
Practice Location Address:

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98116-3305

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1386998433 — JENNIFER M RIDDLE LMP
Practice Location Address:

3210 CALIFORNIA AVE SW
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98116-3305

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1467941922 — NORTHWEST NATUROPATHIC
Practice Location Address:

3256 CALIFORNIA AVE SW
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98116-3305

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1770191355 — SABIN J GILMAN ND
Practice Location Address:

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98116-3305

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Directions to “THE MYOSPACE OF SEATTLE ” Practice Location

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