Individual provider · Type 1 NPI

Autumn Renee Ellis, LMT

Massage Therapist · Seattle, WA

NPI number 1124264296 Active

Practice location

7815 Greenwood Ave N
Seattle, WA 98103-4633

Call (206) 789-5704 Map

Fax (206) 782-6432

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60040836 (WA)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1124264296

Autumn Renee Ellis, LMT's National Provider Identifier is 1124264296, issued on Dec 19, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seattle, WA. The record was last updated on Dec 19, 2008.