Provider Demographics
NPI:1063811271
Name:ZEALAND MASSAGE
Entity type:Organization
Organization Name:ZEALAND MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMP / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FORCIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-351-0950
Mailing Address - Street 1:525 121ST PL NE APT B2
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3164
Mailing Address - Country:US
Mailing Address - Phone:425-351-0950
Mailing Address - Fax:
Practice Address - Street 1:525 121ST PL NE APT B2
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3164
Practice Address - Country:US
Practice Address - Phone:425-351-0950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60310524225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty