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Organization
NORTHERN LIGHTS MASSAGE, PLLC
Active
Organization
NORTHERN LIGHTS MASSAGE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLESYA KRYVORUCHKO (OWNER/MASSAGE THERAPIST)
(954) 857-7482
Entity
Organization
Contact information
Practice address
704 WARREN AVE N, SEATTLE, WA 98109-4027
(206) 588-5079
Mailing address
1711 12TH AVE APT 404, SEATTLE, WA 98122-3294
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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