Metamorphic Massage & Wellness INC

NPI #1114390762 in Tumwater, Washington

Provider Information

NPI Number
1114390762
Entity Type
Organization
Organization Name
Metamorphic Massage & Wellness INC
Primary Specialty
Preferred Provider Organization
Enumeration Date
Nov 4, 2015
Last Updated
Nov 4, 2015

Practice Location

Address
6342 LITTLEROCK RD SW
ZIP Code
98512-7332
Phone
(360) 520-3011

Authorized Official

Name
MRS. MICHELLE LYNN HERRON, LMP, MMP
Title
OWNER/LEAD MASSAGE THERAPIST
Phone
(360) 520-3011

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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