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NPI Code Detail

MEDICARE: UNRAVEL THERAPEUTICS

MEDICARE: UNRAVEL THERAPEUTICS
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
1174400000XSpecialistMA60483796WA
2225700000XMassage TherapistMA60483796WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11407095102OTHERWANPI

General Provider Information

NPI Number : 1891101218
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNRAVEL THERAPEUTICS
Provider Business Mailing Address
First Line : 3320 W MCGRAW ST STE 4
Second Line :
City : SEATTLE
State : WA
Zip : 98199-3241
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3320 W MCGRAW ST STE 4
Second Line :
City : SEATTLE
State : WA
Zip : 98199-3241
Country : US
Telephone Number : 206-283-9910
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SHERYL GREGORY
Credential :
Telephone Number : 206-283-9910
Provider Enumeration Date : 07/07/2014
Last Update Date : 07/07/2014

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Directions to “UNRAVEL THERAPEUTICS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.