Organization
UNDER THE INFLUENCE OF MASSAGE
Active
Parent organization
UNDER THE INFLUENCE OF MASSAGE
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNDER THE INFLUENCE OF MASSAGE
Authorized official
ALICIA JACOBY LMP (OWNER)
(360) 573-3223
Entity
Organization
Contact information
Practice address
1612 NE 78TH ST, VANCOUVER, WA 98665-9635
(360) 573-3223
Mailing address
1612 NE 78TH ST, VANCOUVER, WA 98665-9635
(360) 573-3223
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MA00016071
WA
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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