Organization
CKE LONGEVITY LLC
Active
Other names
Elements Therapeutic Massage
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA MARIE SWARTZ (OWNER)
(360) 574-3141
Entity
Organization
Contact information
Practice address
1319 NE 134TH ST, SUITE 103, VANCOUVER, WA 98685-2717
(360) 574-3141
Mailing address
14607 NW 23RD AVE, VANCOUVER, WA 98685-1018
(360) 574-3141
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/27/2013
Last updated
05/27/2013
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