Doctor Name: | MR. SCOTT OLSEN |
NPI Number: | 1225348667 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMP, NCTMB |
License Number: | 60169798 |
Business Practice Address: | 118 105th Ave Ne Bellevue, WA - 980045913 |
Business Phone Number: | 4256156134 |
Business Fax Number: | |
Mailing Address: | Po Box 254, BELLEVUE |
State: | WA |
Postal Code: | 980090254 |
Phone Number: | 4256156134 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2010 |
NPI Last Update Date: | 05/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 60169798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |