Provider Demographics
NPI:1194297580
Name:WASHINGTON, SAFFIYA (LMT)
Entity type:Individual
Prefix:
First Name:SAFFIYA
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:227 W BROAD ST STE 102
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-5570
Mailing Address - Country:US
Mailing Address - Phone:610-653-7701
Mailing Address - Fax:844-403-3107
Practice Address - Street 1:419 STATE AVE STE 5
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-3057
Practice Address - Country:US
Practice Address - Phone:610-653-7701
Practice Address - Fax:833-882-1326
Is Sole Proprietor?:No
Enumeration Date:2018-12-22
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG012665225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMSG012665OtherPA MASSAGE LICENSE