1437385390 NPI number — MS. HEIDI NICOLE BETTINGER MASSAGE THERAPIST

Table of content: MS. HEIDI NICOLE BETTINGER MASSAGE THERAPIST (NPI 1437385390)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437385390 NPI number — MS. HEIDI NICOLE BETTINGER MASSAGE THERAPIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BETTINGER
Provider First Name:
HEIDI
Provider Middle Name:
NICOLE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MASSAGE THERAPIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PETERSON
Provider Other First Name:
HEIDI
Provider Other Middle Name:
NICOLE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1437385390
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/10/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
103 EAST 3RD ST
Provider Second Line Business Mailing Address:
STE 107
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98223
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-501-6964
Provider Business Mailing Address Fax Number:
425-968-7055

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
103 EAST 3RD ST
Provider Second Line Business Practice Location Address:
STE 107
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-501-6964
Provider Business Practice Location Address Fax Number:
425-968-7055
Provider Enumeration Date:
06/05/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  MA00013930 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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