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Organization
STILLWATER MASSAGE
Active
Organization
STILLWATER MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY JACKSON (OWNER)
(206) 307-4978
Entity
Organization
Contact information
Practice address
4610 45TH AVE S, SEATTLE, WA 98118-1812
(206) 307-4978
(206) 260-3086
Mailing address
4610 45TH AVE S, SEATTLE, WA 98118-1812
(206) 307-4978
(206) 260-3086
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00013522
WA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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