Organization
COMPETITIVE EDGE MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORALLEE ELIZABETH WEBER LMP (LICENSED MASSAGE PRACTITIONER)
(253) 905-6761
Entity
Organization
Contact information
Practice address
5012 200TH STREET CT E, SPANAWAY, WA 98387-4770
(253) 905-6761
Mailing address
5012 200TH STREET CT E, SPANAWAY, WA 98387-4770
(253) 905-6761
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
MA00024666
WA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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