Provider Demographics
NPI:1174881353
Name:2 HANDS HEALING
Entity type:Organization
Organization Name:2 HANDS HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOLYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:206-501-5646
Mailing Address - Street 1:PO BOX 2394
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-0108
Mailing Address - Country:US
Mailing Address - Phone:206-501-5646
Mailing Address - Fax:206-659-0776
Practice Address - Street 1:778 N 73RD ST
Practice Address - Street 2:#2
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5150
Practice Address - Country:US
Practice Address - Phone:206-501-5646
Practice Address - Fax:206-659-0776
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARAGON PORTAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-25
Last Update Date:2012-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00019074225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty