Organization
CROSSFUNCTION SPORTS MASSAGE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY LYNN MAPES LMT (OWNER)
(425) 595-3436
Entity
Organization
Contact information
Practice address
805 164TH ST SE STE 100, MILL CREEK, WA 98012-6316
(425) 418-8588
Mailing address
805 164TH ST SE STE 100, MILL CREEK, WA 98012-6316
(425) 418-8588
(425) 595-3436
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60410229
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275949349
PERSONAL NPI NUMBER
WA
Enumeration date
06/06/2017
Last updated
05/29/2024
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