KELIOTTMD OF SEATTLE LLC (NPI# 1710305420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710305420 |
| Entity Type | Organization |
| Organization Name | KELIOTTMD OF SEATTLE LLC |
| Other Organization Name | BODYLOGICMD OF SEATTLE |
| Practice Address |
811 1st Ave Ste 626 Suite 626 Seattle WA 98104-1434 |
| Mailing Address |
2817 E Park Dr E Seattle WA 98112-2003 |
| Practice Telephone | 2063517516 |
| Mailing Telephone | 2063517516 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2014-03-31 |
| Authorized Official Name | DR. KATHRYN JANE ELLIOTT (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2063517516 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 60308596 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BodyLogicMD of Seattle | Doing Business As Name - Organization |
| Street Address |
811 1ST AVE STE 626 SUITE 626 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376152 | Seattle Vision Therapy and Rehabilitation Center, Pllc | Clinic/Center | 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 | 2020-11-02 |
| 1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
| 1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
| 1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
| 1952965915 | Dr. Jessica Wendling, LLC | Clinic/Center | 5401 Leary Ave Nw Ste 206, Seattle, WA 98107-4070 | 2019-04-25 |
| 1376003095 | Express Care Ak LLC | Clinic/Center | 800 Fifth Ave Ste 900, Seattle, WA 98104-3176 | 2019-03-20 |
| 1003373150 | Every Body Moves, LLC | Clinic/Center | 5238 57th Ave S, Seattle, WA 98118-2517 | 2019-02-25 |
| 1598243784 | Women's Accessible Medical Service, Ps | Clinic/Center | 4528 8th Ave Ne Ste 1a, Seattle, WA 98105-1738 | 2018-07-31 |
| 1295257384 | Gary R Feldman Dds Md Ps | Clinic/Center | 1221 Madison St Ste 1116, Seattle, WA 98104-3536 | 2017-07-11 |
| 1639607310 | Trust Women Foundation | Clinic/Center | 1325 4th Ave Ste 1240, Seattle, WA 98101-2516 | 2017-05-25 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.