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Organization
VIBRANCE BODYWORK MASSAGE
Active
Organization
VIBRANCE BODYWORK MASSAGE
Active
Other names
Healthquest Therapeutic Massage
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MINDY M GOTTSCHALL (LMP)
(509) 301-3017
Entity
Organization
Contact information
Practice address
216 N ROOSELT ST, WALLA WALLA, WA 99362
(509) 527-1156
Mailing address
1023 S 3RD AVE, WALLA WALLA, WA 99362-4014
(509) 301-3017
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA15545
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA15545
LMP
WA
Enumeration date
05/23/2007
Last updated
08/22/2020
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