Organization
RIVERSIDE THERAPUTIC MASSAGE
Active
Organization
RIVERSIDE THERAPUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WHITTEN I (L.M.P)
(509) 976-4800
Entity
Organization
Contact information
Practice address
640 JADWIN AVE STE J, RICHLAND, WA 99352-4244
(509) 946-4800
Mailing address
640 JADWIN AVE STE J, RICHLAND, WA 99352-4244
(509) 946-4800
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
WA
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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