Provider Demographics
NPI:1861775173
Name:HELIX MASSAGE THERAPY
Entity type:Organization
Organization Name:HELIX MASSAGE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:206-399-8568
Mailing Address - Street 1:419 QUEEN ANNE AVE N
Mailing Address - Street 2:STE. 106
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-4518
Mailing Address - Country:US
Mailing Address - Phone:206-399-8568
Mailing Address - Fax:
Practice Address - Street 1:419 QUEEN ANNE AVE N
Practice Address - Street 2:STE. 106
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4518
Practice Address - Country:US
Practice Address - Phone:206-399-8568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00014379225700000X
WA00024780225700000X
WA60016700225700000X
WA00020151225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty