At Vancouver Massage, LLC
NPI #1164926374 in Vancouver, Washington
Provider Information
- NPI Number
- 1164926374
- Entity Type
- Organization
- Organization Name
- At Vancouver Massage, LLC
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Mar 21, 2018
- Last Updated
- Oct 9, 2023
Practice Location
- Address
- 1508 BROADWAY ST
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98663-3434
- Phone
- (360) 635-3477
Authorized Official
- Name
- MS. JEAN A KONCOS, LMT
- Title
- OWNER
- Phone
- (360) 635-3477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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