Organization
CUSTOMCARE MASSAGE, P.S., INC
Active
Other names
CustomCare Massage
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN JEANETTE MONTEGNA (OFFICE MANAGER)
(509) 374-2600
Entity
Organization
Contact information
Practice address
8390 W GAGE BLVD, SUITE 207, KENNEWICK, WA 99336-8105
(509) 374-2600
(888) 814-3542
Mailing address
8390 W GAGE BLVD, SUITE 207, KENNEWICK, WA 99336-8105
(509) 374-2600
(888) 814-3542
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00015620
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0164297
LABOR AND INDUSTRIES
WA
01
—
239007239006
AWHN
WA
Enumeration date
03/16/2007
Last updated
08/22/2020
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