Organization
RIVERSIDE THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WHITTEN LMP (OWNER)
(509) 946-4800
Entity
Organization
Contact information
Practice address
640 JADWIN AVE STE J, RICHLAND, WA 99352-4244
(509) 946-4800
(509) 943-1270
Mailing address
640 JADWIN AVE STE J, RICHLAND, WA 99352-4244
(509) 946-4800
(509) 943-1270
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA
WA
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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