Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Chantel Ullom

Individual provider Massage Therapist · NPI 1215361605

Amanda Chantel Ullom is a Massage Therapist in Bothell, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2013

Practice location Address checks out

11801 NE 160th St Ste D
Bothell, WA 98011-4106
Phone: (206) 850-6692
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 00024803 (WA)

Record details

NPI number1215361605
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 21, 2013
Last updated in NPPESAugust 21, 2013
Mailing addressPo Box 2837, Woodinville, WA 98072-2837

Other providers in Bothell