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Organization
VALLEY MASSAGE CLINIC
Active
Organization
VALLEY MASSAGE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MELTING TALLOW LMP (OWNER)
(509) 954-7354
Entity
Organization
Contact information
Practice address
12121 E BROADWAY AVE, SPOKANE VALLEY, WA 99206-4972
(509) 921-9800
Mailing address
12121 E BROADWAY AVE, SPOKANE VALLEY, WA 99206-4972
(509) 921-9800
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
225700000X
WA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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