Organization
NORTHWEST THERAPEUTIC MASSAGE
Active
Organization
NORTHWEST THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE HECKARD LMT (OFFICER)
(253) 302-7582
Entity
Organization
Contact information
Practice address
4113 BRIDGEPORT WAY W STE B, UNIVERSITY PLACE, WA 98466-4325
(253) 564-5828
Mailing address
4113 BRIDGEPORT WAY W STE B, UNIVERSITY PLACE, WA 98466-4325
(253) 564-5828
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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