MEDICARE: THE STILL POINT

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	:	1992443972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE STILL POINT

Provider Business Mailing Address
First Line	:	2265 N 56TH ST # 2B
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-6209
Country	:	US
Telephone Number	:	206-590-4626
Fax Number	:

Provider Business Practice Location Address
First Line	:	2265 N 56TH ST # 2B
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-6209
Country	:	US
Telephone Number	:	206-590-4626
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DIEDRA ROESIJADI
Credential	:	LMT
Telephone Number	:	206-669-6874

Provider Enumeration Date	:	05/20/2022
Last Update Date	:	05/20/2022

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Directions to “THE STILL POINT ” Practice Location

Language	Start Address	Practice Location

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.

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