Organization
BODY MADIX MASSAGE THERAPY LLC
Active
Organization
BODY MADIX MASSAGE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BUSH LMT (OWNER)
(360) 907-1654
Entity
Organization
Contact information
Practice address
3161 E PALMER WASILLA HWY STE 1A, WASILLA, AK 99654-7271
(360) 907-1654
Mailing address
PO BOX 670202, CHUGIAK, AK 99567-0202
(360) 907-1654
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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