Provider Demographics
NPI:1992443972
Name:THE STILL POINT
Entity type:Organization
Organization Name:THE STILL POINT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIEDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROESIJADI
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:206-669-6874
Mailing Address - Street 1:2265 N 56TH ST # 2B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6209
Mailing Address - Country:US
Mailing Address - Phone:206-590-4626
Mailing Address - Fax:
Practice Address - Street 1:2265 N 56TH ST # 2B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6209
Practice Address - Country:US
Practice Address - Phone:206-590-4626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty