Organization
INTERCONNECT BODYWORKS LLC
Active
Other names
Rebalance MLD and Massage Services
Organization subpart
No
Provider details
NPI number
Authorized official
SOO SON LMT, CLT (OWNER)
(971) 238-8756
Entity
Organization
Contact information
Practice address
10445 SW CANYON RD STE 111C, BEAVERTON, OR 97005-1938
(971) 238-8756
Mailing address
10445 SW CANYON RD STE 111C, BEAVERTON, OR 97005-1938
(971) 238-8756
(888) 860-7014
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
05/13/2024
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