NPI 1003067646
Dermavita Medispa
Practice location
- Address
- 11 Lake St, Kirkland, WA 98033-6111
- Phone
- (425) 739-0808
Authorised official
- Name
- Magdalena Witwicki
- Title
- Owner
- Phone
- (425) 739-0808
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1003067646
- Entity type
- Organization
- NPI issued
- 1 Oct 2008
- Record last updated
- 1 Oct 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.