Sonya C Grace, LMP
Individual provider Active NPI Massage Therapist · Kenmore, WA
NPI 1003974650 · NPPES record last updated Jun 22, 2016
Key facts
- NPI
- 1003974650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA00012347 (WA)
- Practice address
- 7800 NE Bothell Way
#155
Kenmore, WA 98028 - Phone
- (206) 729-7429
- Fax
- (206) 826-0455
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00012347 | WA | MD | Massage Therapist |
| MA12347 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA12347 | WA | |
| Massage Therapist | 225700000X | MA00012347 | WA | Yes |
Addresses
Primary practice location
7800 NE Bothell Way
#155
Kenmore, WA 98028
Mailing address
7711 NE 175TH St.
A108
Kenmore, WA 98028
Phone (206) 729-7429
Other names
- Sonya C Olsby
Other providers in Kenmore, WA
- Rosemary Gomez
- Pablo Gonzalez Balzar
- Ashley Sharlene Gonzalez
- Joan F Gorkos
- Robert Martin Gottlieb
- Heidi Grieb
- Trisanna M Gruel
- Amy J Halberstadt
- Ann Snortum Hansen
- Nona L. Hanson
All providers in Kenmore, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.