Provider Demographics
NPI:1932225935
Name:ALSAIDY, SAID (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:SAID
Middle Name:
Last Name:ALSAIDY
Suffix:
Gender:M
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 2ND AVE NORTH
Mailing Address - Street 2:
Mailing Address - City:ALGONA
Mailing Address - State:WA
Mailing Address - Zip Code:98001
Mailing Address - Country:US
Mailing Address - Phone:253-241-8211
Mailing Address - Fax:253-351-6009
Practice Address - Street 1:115 2ND AVE N
Practice Address - Street 2:
Practice Address - City:ALGONA
Practice Address - State:WA
Practice Address - Zip Code:98001-4404
Practice Address - Country:US
Practice Address - Phone:253-241-8211
Practice Address - Fax:253-351-6009
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023735225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist