Organization
VALLEY MASSAGE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MELTINGTALLOW LMP (OWNER)
(509) 921-9800
Entity
Organization
Contact information
Practice address
2310 N MOLTER RD, STE 108, LIBERTY LAKE, WA 99019-5036
(509) 924-4443
(509) 924-1249
Mailing address
12121 E BROADWAY AVE STE 5B, SPOKANE VALLEY, WA 99206-4972
(509) 921-9800
(509) 921-9801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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