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Organization
MYOGRASP BODYWORK
Active
Organization
MYOGRASP BODYWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA MICHAELA SHATRAW MMP (MEDICAL MASSAGE PRACTITIONER)
(208) 627-7637
Entity
Organization
Contact information
Practice address
900 W ROBERT BUSH DR, SOUTH BEND, WA 98586
(208) 627-7636
Mailing address
PO BOX 769, SOUTH BEND, WA 98586-0769
(208) 627-7637
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/20/2022
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