Organization
BODY HARMONY MASSAGE
Active
Other names
Body Harmony Masaage
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISA ELLEN WUNDERLICH LMP (OWNER)
(509) 475-1238
Entity
Organization
Contact information
Practice address
1002 1ST ST, CHENEY, WA 99004-1708
(509) 475-1238
Mailing address
1002 1ST ST, CHENEY, WA 99004-1708
(509) 475-1238
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MA00025203
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811167406
LIFE WISE
WA
05
—
1811167406
—
WA
01
—
8111167406
CIGNA
WA
Enumeration date
03/17/2008
Last updated
03/17/2008
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