Provider Demographics
NPI:1831737964
Name:HORIZON MASSAGE THERAPY, PLLC
Entity type:Organization
Organization Name:HORIZON MASSAGE THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIPERNA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:206-605-5115
Mailing Address - Street 1:3814 53RD AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-3623
Mailing Address - Country:US
Mailing Address - Phone:206-605-5115
Mailing Address - Fax:
Practice Address - Street 1:3727 CALIFORNIA AVE SW STE 2A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4303
Practice Address - Country:US
Practice Address - Phone:206-605-5115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-19
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty