Island Wellness Center
Mechanotherapist in Friday Harbor, WA. Organization (NPI-2).
NPI number1871024059
StatusActive
Last updated in NPPESMar 21, 2017
Details
- NPI
- 1871024059
- Entity type
- Organization (NPI-2)
- Legal business name
- Island Wellness Center
- Organization subpart
- No
- Enumeration date
- Mar 21, 2017
- Last updated
- Mar 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172M00000X | Mechanotherapist | MA6888 | WA | Yes |
Other names
- Amy C Bienvenu (Doing Business As)
Practice location
470 Spring St Ste 103Friday Harbor, WA 98250-7230
Phone 360-472-1356
Mailing address
Po Box 1796Friday Harbor, WA 98250-1796
Phone 360-472-1356
Authorized official
Amy C Bienvenu
Owner
3604721356
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