| Doctor Name: | ALICIA D MASIULIS |
| NPI Number: | 1063578698 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAC LMP |
| License Number: | MA00017471 |
| Business Practice Address: | 3221 Eastlake Ave E Suite 120 Seattle, WA - 98102 |
| Business Phone Number: | 2069574550 |
| Business Fax Number: | 2069574552 |
| Mailing Address: | Po Box 20385, SEATTLE |
| State: | WA |
| Postal Code: | 98102 |
| Phone Number: | 2063753689 |
| Fax Number: | 2069574552 |
| NPI Enumeration Date: | 12/28/2006 |
| NPI Last Update Date: | 11/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | MA00017471 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Massage Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |