Samer Sead Elgezawi, LMP
Massage Therapist in Bellevue, WA. Individual provider (NPI-1).
NPI number1699064931
StatusActive
Last updated in NPPESApr 6, 2011
Details
- NPI
- 1699064931
- Entity type
- Individual (NPI-1)
- Name
- Samer Sead Elgezawi
- Credential
- LMP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2011
- Last updated
- Apr 6, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA60203268 | WA | Yes |
Practice location
14100 Se 36th StSuite 210
Bellevue, WA 98006-1657
Phone 425-653-7100 · Fax 425-653-7109
Mailing address
1 Lake Bellevue DrSuite 100
Bellevue, WA 98005-2417
Phone 425-462-4330 · Fax 425-462-4335
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