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Organization
REVIVE THERAPEUTIC MASSAGE
Active
Organization
REVIVE THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNA ROBERTS LMP (OWNER)
(509) 991-2914
Entity
Organization
Contact information
Practice address
707 S PARK ST, DEER PARK, WA 99006-7025
(509) 991-2914
(866) 629-4801
Mailing address
707 S PARK ST, DEER PARK, WA 99006-7025
(509) 991-2914
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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