Emerald Vine Pllc
NPI #1104066836 in Seattle, Washington
Provider Information
- NPI Number
- 1104066836
- Entity Type
- Organization
- Organization Name
- Emerald Vine Pllc
- Primary Specialty
- Mechanotherapist
- Enumeration Date
- Feb 20, 2009
- Last Updated
- Feb 20, 2009
Practice Location
- Address
- 142 NW CANAL ST
- City
- Seattle
- State
- Washington
- ZIP Code
- 98107-4933
- Phone
- (206) 347-0777
Authorized Official
- Name
- MS. SHAINA MARIKO AKIDAU, LMP
- Title
- OWNER
- Phone
- (206) 347-0777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Mechanotherapist |
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