A Balanced Life Center PLLC
Massage Therapist in Vancouver, WA. Organization (NPI-2).
NPI number1134449762
StatusActive
Last updated in NPPESJun 5, 2010
Details
- NPI
- 1134449762
- Entity type
- Organization (NPI-2)
- Legal business name
- A Balanced Life Center PLLC
- Organization subpart
- No
- Enumeration date
- Jun 5, 2010
- Last updated
- Jun 5, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA 00020739 | WA | Yes |
Practice location
100 W 11th StSuite B
Vancouver, WA 98660-3352
Phone 360-693-2112 · Fax 360-735-9058
Mailing address
100 W 11th StSuite B
Vancouver, WA 98660-3352
Phone 360-693-2112 · Fax 360-735-9058
Authorized official
Sabrina A Wright
Manager
3606932112
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