Provider Demographics
NPI:1154797397
Name:ROCK SOLID MASSAGE & BODYWORK, PLLC
Entity type:Organization
Organization Name:ROCK SOLID MASSAGE & BODYWORK, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STUMME
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:206-353-2012
Mailing Address - Street 1:6000 17TH AVE SW APT 21
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-3525
Mailing Address - Country:US
Mailing Address - Phone:206-353-2012
Mailing Address - Fax:
Practice Address - Street 1:3272 CALIFORNIA AVE SW
Practice Address - Street 2:SUITE 103
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-3375
Practice Address - Country:US
Practice Address - Phone:206-353-2012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60402201225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty