Bodywork Devine LLC

NPI #1164900940 in Ridgefield, Washington

Provider Information

NPI Number: 1164900940
Entity Type: Organization
Organization Name: Bodywork Devine LLC
Primary Specialty: Massage Therapist
Enumeration Date: Aug 2, 2018
Last Updated: Aug 2, 2018

Practice Location

Address: 8507 S 5TH ST STE 104
City: Ridgefield
State: Washington
ZIP Code: 98642-3422
Phone: (360) 887-5839

Authorized Official

Name: KRISTIN TAYLOR, LMP
Title: OWNER
Phone: (360) 798-3105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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