Mariam Gedevanishvili
NPI 1083778104 · Massage Therapist · Kent, WA
Mariam Gedevanishvili is a Massage Therapist provider in Kent, WA (NPI 1083778104).
Provider details
- NPI number
- 1083778104
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2012-06-11
Frequently asked questions
- What is Mariam Gedevanishvili's NPI number?
- Mariam Gedevanishvili's National Provider Identifier (NPI) is 1083778104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mariam Gedevanishvili's specialty?
- Mariam Gedevanishvili is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mariam Gedevanishvili located?
- Mariam Gedevanishvili's practice location on file with NPPES is 10700 Se 208th St Ste 207, Kent, WA 98031-5545.
- What is Mariam Gedevanishvili's phone number?
- The practice phone number listed in the NPPES registry for Mariam Gedevanishvili is (206) 755-1758.
- Is Mariam Gedevanishvili's NPI active?
- Yes — Mariam Gedevanishvili's NPI (1083778104) is active in the NPPES registry as of the last update on 2012-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.