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Organization
INDIGO FOUNTAIN MASSAGE
Active
Organization
INDIGO FOUNTAIN MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANTHEA E HAY LMP (LICENSED MASSAGE PRACTITIONER)
(360) 731-8665
Entity
Organization
Contact information
Practice address
3656 NW MUNSON ST, #1, SILVERDALE, WA 98383-9140
(360) 731-8665
Mailing address
3656 NW MUNSON ST, #1, SILVERDALE, WA 98383-9140
(360) 731-8665
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
602851131
WA
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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