Organization
HEARTFUL HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA OLIVER (OWNER)
(360) 907-3648
Entity
Organization
Contact information
Practice address
311 W EVERGREEN BLVD, SUITE 100, VANCOUVER, WA 98660-3371
(360) 907-3648
Mailing address
515 NW 153RD ST, VANCOUVER, WA 98685-1791
(360) 907-3648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60555361
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336463389
INDIVIDUAL NPI
—
Enumeration date
09/16/2015
Last updated
11/08/2015
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