Still Waters Therapeutic PLLC
Massage Therapist in Des Moines, WA. Organization (NPI-2).
NPI number1457565327
StatusActive
Last updated in NPPESJul 21, 2008
Details
- NPI
- 1457565327
- Entity type
- Organization (NPI-2)
- Legal business name
- Still Waters Therapeutic PLLC
- Organization subpart
- No
- Enumeration date
- May 10, 2007
- Last updated
- Jul 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA00015674 | WA | Yes |
Other names
- Limited Liability Company (Other Name)
Practice location
22000 Marine View Dr So Suite 202Des Moines, WA 98198
Phone 206-235-1958 · Fax 206-235-1958
Mailing address
22000 Marine View Dr So Suite 202Des Moines, WA 98198
Phone 206-235-1958 · Fax 206-824-6205
Authorized official
Leslie Anne Mathe Sivret
Owner Manager
2062351958
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