Provider Demographics
NPI:1699249847
Name:HEALING HANDS WITH HEART
Entity type:Organization
Organization Name:HEALING HANDS WITH HEART
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CORRIELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:509-438-6899
Mailing Address - Street 1:12515 MERIDIAN E STE 201
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-3436
Mailing Address - Country:US
Mailing Address - Phone:509-438-6899
Mailing Address - Fax:254-841-8526
Practice Address - Street 1:12515 MERIDIAN E STE 201
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-3436
Practice Address - Country:US
Practice Address - Phone:509-438-6899
Practice Address - Fax:254-841-8526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-21
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1982060273OtherNPI