Organization
COASTLINE BODY AND MIND MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA JAIME L.M.T. (MASSAGE THERAPIST)
(360) 640-9540
Entity
Organization
Contact information
Practice address
330 OCEAN DRIVE, LA PUSH, WA 98350
(360) 640-9540
Mailing address
PO BOX 201, LA PUSH, WA 98350-0201
(360) 640-9540
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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