Alexander Ravikovich in Bellevue - Massage Therapist
Alexander Ravikovich - NPI 1487799615
Alexander Ravikovich is a Massage Therapist in Bellevue, Washington. Alexander Ravikovich practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Alexander Ravikovich is 1487799615. The last update date is 2007-07-08.
Alexander Ravikovich's current location address is 15650 Ne 24th St Ste D, Bellevue, Washington. You can contact this provider via phone number 4257472801 and fax number 4257472612. The mailing address for Alexander Ravikovich is 15650 Ne 24th St Ste D, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexander Ravikovich |
|---|---|
| Address | 15650 Ne 24th St Ste D, Bellevue, Washington |
| Phone Number | 4257472801 |
| Fax Number | 4257472612 |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1487799615 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15650 Ne 24th St Ste D |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 980082460 |
| Phone Number | 4257472801 |
| Fax Number | 4257472612 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA00004391 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RA5623 | WA | REGENCE PROVIDER NUMBER | |
| 43552 | WA | L&I PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Alexander Ravikovich by the Centers for Medicare & Medicaid Services?
The Alexander Ravikovich has been assigned the NPI (National Provider Identifier) 1487799615. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Alexander Ravikovich's physical address?
The Alexander Ravikovich is physically located at 15650 Ne 24Th St Ste D, in the city of Bellevue, WA, with the postal code 980082460.
What is the Alexander Ravikovich's specialty and taxonomy code?
The Alexander Ravikovich's specialty is Massage Therapist, and the corresponding taxonomy code is 225700000X.
On what date did the Alexander Ravikovich receive the assignment of its 1487799615 from the Centers for Medicare & Medicaid Services?
The Alexander Ravikovich was issued its 1487799615 by the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date were the details pertaining to Alexander Ravikovich last refreshed?
The information related to the Alexander Ravikovich, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL