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MARIAM GEDEVANISHVILI
NPI 1083778104
Massage Therapist in Kent, WA

Active since December 21, 2006
10700 SE 208TH ST STE 207, KENT, WA 98031(206) 755-1758(253) 833-2686 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mariam Gedevanishvili NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIAM GEDEVANISHVILI (NPI 1083778104) is an individual massage therapist in Kent, Washington, licensed in Washington (MA60058598) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1083778104
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMARIAM GEDEVANISHVILI
Location Address10700 SE 208TH ST STE 207Kent, WA 98031-5545
Mailing Address18622 Se 265th StCovington, WA 98042-8421 · (206) 755-1758 · Fax (253) 883-2686
Phone(206) 755-1758
Fax(253) 833-2686
Sole ProprietorYes
Enumeration DateDecember 21, 2006
Last NPPES UpdateJune 11, 2012
✔ NPI 1083778104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WA · MA60058598
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
10700 SE 208TH ST STE 207, Kent, WA 98031
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ALETHIA RODRIGUEZ LMP
Massage Therapist
10700 SE 208TH ST STE 207
KENT, WA 98031
King County (253) 854-3185
SUZE ST LOUIS LMP
Massage Therapist
10700 SE 208TH ST STE 207
KENT, WA 98031
King County (253) 854-3185
BRENDA MANOOKIN
Massage Therapist
10700 SE 208TH ST STE 207
KENT, WA 98031
King County (425) 430-2058
SARA MICHELLE SAS LMP
Massage Therapist
10700 SE 208TH ST STE 207
KENT, WA 98031
King County (253) 854-3185
MS. HOLLIE IRISH LMP
Massage Therapist
10700 SE 208TH ST STE 207
KENT, WA 98031
King County (253) 854-3185
BALDWIN CHIROPRACTIC
Chiropractor
10700 SE 208TH ST STE 207
KENT, WA 98031
King County (253) 854-3185
KELLIE L JOHNSON LMP
Massage Therapist
10700 SE 208TH ST STE 207
KENT, WA 98031
King County (253) 854-3185
ANDREA L MILLER LMP
Massage Therapist
10700 SE 208TH ST STE 207
KENT, WA 98031
King County (253) 854-3185

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariam Gedevanishvili's NPI number?

The NPI number for Mariam Gedevanishvili is 1083778104. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Mariam Gedevanishvili located?

Mariam Gedevanishvili practices at 10700 SE 208th St Ste 207, Kent, WA 98031. The listed phone number is (206) 755-1758.

What is Mariam Gedevanishvili's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

What insurance does Mariam Gedevanishvili accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Mariam Gedevanishvili as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mariam Gedevanishvili was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.