Organization Name: | ELLE A CLINICAL DAY SPA, INC |
NPI Number: | 1346406279 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEIGH ANNE SHAW (OWNER/PRESIDENT) |
Mailing Address: | 15220 Se 272nd St Ste G Kent |
State: | WA US |
Postal Code: | 980424241 |
Phone Number: | 2536306768 |
Fax Number: | 2536306639 |
NPI Enumeration Date: | 07/30/2008 |
NPI Last Update Date: | 07/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 602843603 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |