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Organization
ROOTED SPRUCE MASSAGE AND BODYWORK
Active
Organization
ROOTED SPRUCE MASSAGE AND BODYWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMUYA LEE DOOLEY MCDANIEL LMT (OWNER)
(971) 770-1360
Entity
Organization
Contact information
Practice address
120 NE 117TH AVE RM 8, VANCOUVER, WA 98684-5020
(971) 770-1360
Mailing address
120 NE 117TH AVE RM 8, VANCOUVER, WA 98684-5020
(971) 770-1360
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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