NPI 1114390762

Metamorphic Massage & Wellness INC

Organisation Preferred Provider Organization Tumwater, WA

Practice location

Address: 6342 Littlerock Rd SW, Tumwater, WA 98512-7332
Phone: (360) 520-3011

Authorised official

Name: Michelle Lynn Herron
Title: Owner/Lead Massage Therapist
Phone: (360) 520-3011

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MA00022554 (WA)

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Registry record

NPI: 1114390762
Entity type: Organization
NPI issued: 4 Nov 2015
Record last updated: 4 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.