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Organization

NORTHWEST THERAPEUTIC MASSAGE

Active
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Organization

NORTHWEST THERAPEUTIC MASSAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE CORNS LMP (OWNER)
(253) 564-5828
Entity
Organization

Contact information

Practice address
4113 BRIDGEPORT WAY W, SUITE B, UNIVERSITY PLACE, WA 98466-4325
(253) 564-5828
(253) 564-0115
Mailing address
4113 BRIDGEPORT WAY W, SUITE B, UNIVERSITY PLACE, WA 98466-4325

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022176
WA

Other

Enumeration date
09/10/2015
Last updated
09/10/2015
About Stedi
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