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Organization
NORTHWEST MASSAGE LLC
Active
Organization
NORTHWEST MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATERI CHEYENNE SMITH LMT (OWNER/LMT)
(360) 521-6090
Entity
Organization
Contact information
Practice address
100 E 13TH ST STE 111, VANCOUVER, WA 98660-3329
(360) 521-6090
Mailing address
100 E 13TH ST STE 111, VANCOUVER, WA 98660-3329
(360) 521-6090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WA
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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