Organization
BREATHE YOGA AND MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENAYA VIRGIN LMP (OWNER/MANAGER)
(360) 604-1226
Entity
Organization
Contact information
Practice address
17030 SE 1ST ST STE 102, VANCOUVER, WA 98684-8514
(360) 604-1226
Mailing address
17030 SE 1ST ST STE 102, VANCOUVER, WA 98684-8514
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00008425
WA
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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