Organization
ACTIVE HEALING MASSAGE THERAPY
Active
Organization
ACTIVE HEALING MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA C WIKAN LMT (OWNER)
(360) 357-3009
Entity
Organization
Contact information
Practice address
6995 LITTLEROCK RD SW, TUMWATER, WA 98512-7246
(360) 357-3009
Mailing address
6995 LITTLEROCK RD SW, TUMWATER, WA 98512-7246
(360) 357-3009
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WA
Other
Enumeration date
04/18/2007
Last updated
06/16/2008
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