Chase A Homer, LMT
Massage Therapist in Vancouver, WA. Individual provider (NPI-1).
NPI number1437645751
StatusActive
Last updated in NPPESJul 10, 2018
Details
- NPI
- 1437645751
- Entity type
- Individual (NPI-1)
- Name
- Chase A Homer
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2018
- Last updated
- Jul 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA60858104 | WA | Yes |
Practice location
11101 Ne 14th StVancouver, WA 98684-4366
Phone 360-949-0884
Mailing address
11101 Ne 14th StVancouver, WA 98684-4366
Phone 360-949-0884
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