NPI 1255659066

Gateway Therapeutic Massage

Organisation Preferred Provider Organization Port Angeles, WA

Practice location

Address: 118 N Liberty St STE a, Port Angeles, WA 98362-4322
Phone: (360) 457-7374
Fax: (360) 457-8717

Authorised official

Name: Julia Andre'A Anderson
Title: Owner
Phone: (360) 457-7374

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence AC 00002207 (WA)

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Registry record

NPI: 1255659066
Entity type: Organization
NPI issued: 4 May 2010
Record last updated: 4 May 2010

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.