Organization
METAMORPHIC MASSAGE & WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE LYNN HERRON LMP, MMP (OWNER/LEAD MASSAGE THERAPIST)
(360) 520-3011
Entity
Organization
Contact information
Practice address
6342 LITTLEROCK RD SW, TUMWATER, WA 98512-7332
(360) 520-3011
Mailing address
6342 LITTLEROCK RD SW, TUMWATER, WA 98512-7332
(360) 520-3011
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MA00022554
WA
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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