Organization
BODY REFLECTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLIE BAE LMT (OWNER)
(206) 679-0111
Entity
Organization
Contact information
Practice address
1631 15TH AVE W STE 308, SEATTLE, WA 98119-2796
(206) 679-0111
Mailing address
1631 15TH AVE W STE 308, SEATTLE, WA 98119-2796
(206) 679-0111
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022371
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104232735
—
WA
05
—
1336695816
—
WA
Enumeration date
10/09/2017
Last updated
10/09/2017
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