Provider Demographics
NPI:1871967430
Name:UPRIGHT TREATMENT & MASSAGE
Entity type:Organization
Organization Name:UPRIGHT TREATMENT & MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MASSAGE THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:206-317-9652
Mailing Address - Street 1:16720 116TH AVE SE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-5277
Mailing Address - Country:US
Mailing Address - Phone:206-317-9652
Mailing Address - Fax:
Practice Address - Street 1:16720 116TH AVE SE
Practice Address - Street 2:SUITE 2
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-5277
Practice Address - Country:US
Practice Address - Phone:206-317-9652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-19
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60353060411225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty