Organization
NORTHWEST THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISABETH ANNA WILLIAMS (LMP)
(951) 691-6738
Entity
Organization
Contact information
Practice address
4113 BRIDGEPORT WAY W STE EB, UNIVERSITY PLACE, WA 98466-4325
(253) 564-5828
Mailing address
5106 200TH STREET CT E, SPANAWAY, WA 98387-5750
(951) 691-6738
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1318976
WA
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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