Organization
NORTHWEST THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE CORNS (OWNER/MASSAGE THERAPIST)
(253) 564-5828
Entity
Organization
Contact information
Practice address
4113 BRIDGEPORT WAY W STE B, UNIVERSITY PLACE, WA 98466-4325
(253) 564-5828
(253) 564-0115
Mailing address
4113 BRIDGEPORT WAY W STE B, UNIVERSITY PLACE, WA 98466-4325
(253) 564-5828
(253) 564-0115
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60401382
WA
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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