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Organization
MASSAGE CENTER OF BELLEVUE
Active
Organization
MASSAGE CENTER OF BELLEVUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ASHLEY STANLEY (LMP)
(206) 919-1996
Entity
Organization
Contact information
Practice address
17020 166TH PL NE, WOODINVILLE, WA 98072-8955
(206) 919-1996
Mailing address
17020 166TH PL NE, WOODINVILLE, WA 98072-8955
(206) 919-1996
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60619703
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60619703
MASSAGE THERAPY
WA
Enumeration date
02/09/2016
Last updated
02/09/2016
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