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Organization
LWJH LLC OLYMPIC DAY SPA
Active
Organization
LWJH LLC OLYMPIC DAY SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM WHITE L.M.P (MASSAGE THERIPAST FRONT DESK)
(360) 697-3767
Entity
Organization
Contact information
Practice address
11820 FRONT ST, 220, POULSBO, WA 98370
(360) 697-3767
(360) 697-5927
Mailing address
PO BOX 2706, POULSBO, WA 98370-2706
(360) 697-3767
(360) 697-5927
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA00012444
WA
225700000X
Massage Therapist
MA00018677
WA
225700000X
Massage Therapist
MA00020688
WA
225700000X
Massage Therapist
MA00022101
WA
225700000X
Massage Therapist
Primary
—
WA
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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