NPI 1134504145

Body Kneads Massage Therapy

Organisation Preferred Provider Organization Othello, WA

Practice location

Address: 445 Cedar Blvd. Suite C, Othello, WA 99344
Phone: (509) 331-6308
Fax: (509) 343-2762

Authorised official

Name: Jessica Fuhrman
Title: Lmp Owner
Phone: (509) 331-6308

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MA 00011423 (WA)

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Registry record

NPI: 1134504145
Entity type: Organization
NPI issued: 21 Jul 2015
Record last updated: 21 Jul 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.