# COMPETITIVE EDGE MASSAGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134655137
- **Authorized official:** MRS. CORALLEE ELIZABETH WEBER LMP (LICENSED MASSAGE PRACTITIONER)
- **Authorized official phone:** (253) 905-6761

## Contact information

- **Practice address:** 5012 200TH STREET CT E, SPANAWAY, WA 98387-4770
- **Practice address phone:** (253) 905-6761
- **Mailing address:** 5012 200TH STREET CT E, SPANAWAY, WA 98387-4770
- **Mailing address phone:** (253) 905-6761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | MA00024666 | WA | Yes |

## Other

- **Enumeration date:** 05/11/2017
- **Last updated:** 05/11/2017