Organization
FLOURISHLMT PLLC
Active
Organization
FLOURISHLMT PLLC
Active
Other names
Flourish Massage
Organization subpart
No
Provider details
NPI number
Authorized official
JESTYNE MAE MCCAULEY LMT (MASSAGE THERAPIST)
(360) 334-6373
Entity
Organization
Contact information
Practice address
8221 NE HAZEL DELL AVE STE 104, VANCOUVER, WA 98665-8153
(360) 334-6373
(360) 583-3559
Mailing address
8221 NE HAZEL DELL AVE STE 104, VANCOUVER, WA 98665-8153
(360) 334-6373
(360) 583-3559
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11045879554
NPI
WA
Enumeration date
10/05/2022
Last updated
10/05/2022
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