Organization
DRAGONFLY MEDICAL MASSAGE STUDIO LLC
Active
Organization
DRAGONFLY MEDICAL MASSAGE STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERICA LENNARTZ MORTIMER LMT (LICENSED MASSAGE THERAPIST)
(509) 961-8314
Entity
Organization
Contact information
Practice address
3405 W NOB HILL BLVD STE A, YAKIMA, WA 98902-4732
(509) 961-8314
(509) 588-7916
Mailing address
3003 W VIOLA AVE, YAKIMA, WA 98902-4939
(509) 961-8314
(509) 588-7916
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA61018816
MASSAGE THERAPY
WA
Enumeration date
09/18/2020
Last updated
09/18/2020
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