IndividualActive
Amanda Ullom
NPI 1215361605 · Massage Therapist · Bothell, WA
Provider details
- NPI number
- 1215361605
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 00024803 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% 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
11801 Ne 160th St
Suite D
Bothell, WA 98011-4106
Phone: (206) 850-6692
Street-level locationGet directions
Mailing address
Po Box 2837
Woodinville, WA 98072-2837
Registry dates
- Enumerated
- 2013-08-21
- Last updated
- 2013-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.