Elektra Athena Love
Massage Therapist in Seattle, WA. Individual provider (NPI-1).
NPI number1124565643
StatusActive
Last updated in NPPESJan 22, 2017
Details
- NPI
- 1124565643
- Entity type
- Individual (NPI-1)
- Name
- Elektra Athena Love
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2017
- Last updated
- Jan 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA60727162 | WA | Yes |
Practice location
2728 61st Ave SwApt 10
Seattle, WA 98116-4700
Phone 425-293-7129
Mailing address
2728 61st Ave SwApt 10
Seattle, WA 98116-4700
Phone 425-293-7129
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