Organization
BODY HARMONY MASSAGE
Active
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
Update your record
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