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Lake Stevens Massage Therapy, Inc.

NPI Registration Record

Provider / OrganizationNPIDate Certified
LAKE STEVENS MASSAGE THERAPY, INC.18216032912020-09-12
Entity TypeOrganization
Provider OrganizationLAKE STEVENS MASSAGE THERAPY, INC.
Practice Office Address25 95TH DR NE STE 105
LAKE STEVENS, WA US
Practice Office Telephone4253349137
Practice Office Fax4253779487
Mailing Address25 95TH DR NE STE 105
LAKE STEVENS, WA 982587976 US
Business Telephone4253349137
Authorized OfficialJOYCE A MARSH, PRESIDENT
4252383731
HPT Codes
CodeLicense NoState
225700000X PRIMARY
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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