MARIAM GEDEVANISHVILI – Massage Therapist, NPI 1083778104

MARIAM GEDEVANISHVILI is a healthcare provider. based in Covington, Washington. specializing in Massage Therapist. They hold a License No. MA60058598 (WA). The NPI Number for MARIAM GEDEVANISHVILI is 1083778104

Main info

Female
Sole Proprietor
Name
MARIAM GEDEVANISHVILI
NPI
1083778104
Phone
(206) 755-1758
Address
18622 SE 265TH ST
Enumeration Date
21 December 2006
Last Update Date
11 June 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MARIAM GEDEVANISHVILI

  • 18622, Southeast 265th Street, Covington Woods, Covington, King County, Washington, 98042, United States

    COVINGTON, WA 980428421

    Phone: (206) 755-1758

    Fax: (253) 883-2686

    Type: Mailing

  • Southeast 208th Street, Stonepine, Kent, King County, Washington, 98013, United States

    KENT, WA 980315545

    Phone: (206) 755-1758

    Fax: (253) 833-2686

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98042)

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Reviews

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Frequently asked questions

What federal number belongs to MARIAM GEDEVANISHVILI?
The federal identifier for MARIAM GEDEVANISHVILI is NPI 1083778104.
Is MARIAM GEDEVANISHVILI currently active in the NPI registry?
CMS-published data lists MARIAM GEDEVANISHVILI as an active registrant.
What does MARIAM GEDEVANISHVILI treat or focus on?
Patients typically see MARIAM GEDEVANISHVILI under the specialty Massage Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place MARIAM GEDEVANISHVILI?
The snapshot lists Covington, Washington for MARIAM GEDEVANISHVILI; download NPPES for the complete set.
Is MARIAM GEDEVANISHVILI a real provider?
This page reflects official NPPES data for NPI 1083778104. Always confirm identity and privileges with the practice and licensing boards.

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