Organization
MASSAGE HARBOR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA KAY DICKEY LMT (CFO)
(831) 254-4002
Entity
Organization
Contact information
Practice address
124 MARINA AVE # B, APTOS, CA 95003-4515
(831) 278-2868
Mailing address
124 MARINA AVE # B, APTOS, CA 95003-4515
(831) 278-2868
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530394516
CAMTC
CA
Enumeration date
01/30/2019
Last updated
01/30/2019
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