State Of Wellness
Massage Therapist in Vancouver, WA. Organization (NPI-2).
NPI number1265827240
StatusActive
Last updated in NPPESNov 12, 2016
Details
- NPI
- 1265827240
- Entity type
- Organization (NPI-2)
- Legal business name
- State Of Wellness
- Organization subpart
- Yes
- Enumeration date
- Apr 6, 2015
- Last updated
- Nov 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA 60239257 | WA | Yes |
Practice location
401 W 13th StVancouver, WA 98660-2806
Phone 319-325-5579
Mailing address
401 W 13th StVancouver, WA 98660-2806
Authorized official
Kelly Whittingham
Office Manager
9718069595
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