Organization
BODY RECOVERY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA VANSICKLE (MANAGER)
(425) 670-0970
Entity
Organization
Contact information
Practice address
19410 36TH AVE W STE 9, LYNNWOOD, WA 98036-5747
(425) 670-0970
(425) 670-0940
Mailing address
19410 36TH AVE W STE 9, LYNNWOOD, WA 98036-5747
(425) 670-0970
(425) 670-0940
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00010258
WA
Other
Enumeration date
05/02/2007
Last updated
07/19/2007
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