OrganizationActive
A Moment for You PLLC
NPI 1104221571 · Massage Therapist · Seattle, WA
Provider details
- NPI number
- 1104221571
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Bryan Deforrest, Manager/Owner/Lmp
- License
- MA60306672 (WA)
Practice location
650 S Orcas St Ste 219
Seattle, WA 98108-2652
Phone: (206) 456-4463
Fax: (855) 272-1649
Mailing address
650 S Orcas St
Seattle, WA 98108
Registry dates
- Enumerated
- 2014-10-28
- Last updated
- 2017-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.