MEDICARE: ALPENGLOW BODYWORK

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	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1760346548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPENGLOW BODYWORK

Provider Business Mailing Address
First Line	:	9358 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-2821
Country	:	US
Telephone Number	:	206-949-0314
Fax Number	:

Provider Business Practice Location Address
First Line	:	9358 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-2821
Country	:	US
Telephone Number	:	206-949-0314
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRACTITIONER
Name	:	MATHEW RUSSELL
Credential	:	LMT
Telephone Number	:	206-949-0314

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ALPENGLOW BODYWORK ” Practice Location

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