Organization
MYOLIFE BODYWORK & MASSAGE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRIK KETERI LMT (OWNER/OPERATOR)
(360) 798-6204
Entity
Organization
Contact information
Practice address
3305 MAIN ST STE 107, VANCOUVER, WA 98663-2234
(360) 798-6204
Mailing address
8607 NE 161ST AVE, VANCOUVER, WA 98682-3480
(360) 798-6204
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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