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NPI Code Detail

MEDICARE: DAHLIA SPA

MEDICARE: DAHLIA SPA
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
1225700000XMassage Therapist

General Provider Information

NPI Number : 1124160387
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAHLIA SPA
Provider Business Mailing Address
First Line : 1422 31ST AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98144-3910
Country : US
Telephone Number : 206-322-1770
Fax Number :
Provider Business Practice Location Address
First Line : 1422 31ST AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98144-3910
Country : US
Telephone Number : 206-322-1770
Fax Number :
Authorized Official
Title or Position : OWNER
Name : COLLEEN M GRAY
Credential : LMP
Telephone Number : 206-322-1770
Provider Enumeration Date : 02/13/2007
Last Update Date : 09/27/2007

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Directions to “DAHLIA SPA ” Practice Location

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