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Organization
PACIFIC NORTHWEST MASSAGE AND CRYOTHERAPY, LLC
Active
Organization
PACIFIC NORTHWEST MASSAGE AND CRYOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAENNA LYNNE JANUARY LMT (LICENSED MASSAGE THERAPIST, OWNER)
(561) 945-7683
Entity
Organization
Contact information
Practice address
1 LAKE BELLEVUE DR STE 208, BELLEVUE, WA 98005-2417
(561) 945-7683
(206) 260-4339
Mailing address
7609 SE 29TH ST, MERCER ISLAND, WA 98040-2808
(561) 945-7683
(206) 260-4339
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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