Mirror Images Of Beauty INC
Massage Therapist in Kelso, WA. Organization (NPI-2).
NPI number1669922845
StatusActive
Last updated in NPPESOct 11, 2016
Details
- NPI
- 1669922845
- Entity type
- Organization (NPI-2)
- Legal business name
- Mirror Images Of Beauty INC
- Organization subpart
- No
- Enumeration date
- Oct 11, 2016
- Last updated
- Oct 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | WA | Yes |
Other names
- Mirror Images (Other Name)
Practice location
207 Allen StKelso, WA 98626-3403
Phone 360-575-9311
Mailing address
207 Allen StKelso, WA 98626-3403
Phone 360-575-9311
Authorized official
Rita Elaine Nelsonsmith
V.P.
3607492741
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