Provider Demographics
NPI:1174909345
Name:STEAMBOAT HEALTH & WELLNESS, PLLC
Entity type:Organization
Organization Name:STEAMBOAT HEALTH & WELLNESS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:LAURIE
Authorized Official - Last Name:SHEFFELS
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:360-866-6479
Mailing Address - Street 1:3403 STEAMBOAT ISLAND RD NW # 497
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-4876
Mailing Address - Country:US
Mailing Address - Phone:360-866-6479
Mailing Address - Fax:360-866-1461
Practice Address - Street 1:6541 SEXTON DR NW STE A
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-9222
Practice Address - Country:US
Practice Address - Phone:360-866-6479
Practice Address - Fax:360-866-1461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60568438225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty