Organization
GRASSROOTS OF SPOKANE LLC
Active
Other names
Grassroots Wellness Spa and Fitness Center
Organization subpart
No
Provider details
NPI number
Authorized official
FELISHA D PEDERSON (BILLING MANAGER)
(509) 315-5561
Entity
Organization
Contact information
Practice address
1303 S GRAND BLVD, SPOKANE, WA 99202-1136
(509) 474-0213
(509) 315-8354
Mailing address
1303 S GRAND BLVD, SPOKANE, WA 99202-1136
(509) 474-0213
(509) 315-8354
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WA
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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