Organization
HEAL YOUR WORLD MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDMOND D HEANEY LMT (LICENSED MASSAGE THERAPIST)
(509) 671-0419
Entity
Organization
Contact information
Practice address
2038 MCCLOUD CREEK RD, NEWPORT, WA 99156-8797
(509) 671-0419
Mailing address
2038 MCCLOUD CREEK RD, NEWPORT, WA 99156-8797
(509) 671-0419
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
MA00013596
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0317768
L&I
WA
01
—
MA00013596
MASSAGE PRACTITIONER LICENSE
WA
Enumeration date
07/25/2014
Last updated
07/25/2014
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