Monroe Therapeutic Massage Ps

NPI #1275749996 in Monroe, Washington

Provider Information

NPI Number: 1275749996
Entity Type: Organization
Organization Name: Monroe Therapeutic Massage Ps
Primary Specialty: Massage Therapist
Enumeration Date: May 16, 2007
Last Updated: Mar 13, 2013

Practice Location

Address: 101 E MAIN ST
Address 2: STE 201
City: Monroe
State: Washington
ZIP Code: 98272-1519
Phone: (360) 863-0642

Authorized Official

Name: MR. GLYN DESMOND, LMP
Title: PRESIDENT
Phone: (425) 802-1382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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