1437385390 NPI number — MS. HEIDI NICOLE BETTINGER MASSAGE THERAPIST

Table of content: RUO TING CHEN (NPI 1275051864)

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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