Organization
MONTESANO SPA WORKS AND MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA KAYE JOHNSON LMP (CO-OWNER)
(360) 249-2097
Entity
Organization
Contact information
Practice address
120 S MAIN ST, MONTESANO, WA 98563-3709
(360) 249-2097
(360) 249-2591
Mailing address
PO BOX 828, MONTESANO, WA 98563-0828
(360) 249-2097
(360) 249-2591
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
WA
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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