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Organization
PAPA TONYS ENTERPRISE
Active
Organization
PAPA TONYS ENTERPRISE
Active
Other names
Elements Therapeutic Massage
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINA L PORTER LMP (MASSAGE THERAPIST)
(509) 998-2786
Entity
Organization
Contact information
Practice address
325 S SULLIVAN RD, SPOKANE VALLEY, WA 99037-6000
(509) 928-9098
(509) 928-9091
Mailing address
325 S SULLIVAN RD, SPOKANE VALLEY, WA 99037-6000
(509) 928-9098
(509) 928-9091
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60036541
WA
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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