Bonney Lake Clinical Massage LLC
NPI #1356672216 in Bonney Lake, Washington
Provider Information
- NPI Number
- 1356672216
- Entity Type
- Organization
- Organization Name
- Bonney Lake Clinical Massage LLC
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Jan 15, 2010
- Last Updated
- Jan 15, 2010
Practice Location
- Address
- 21157 STATE ROUTE 410 E
- City
- Bonney Lake
- State
- Washington
- ZIP Code
- 98391-8457
- Phone
- (253) 862-4441
Authorized Official
- Name
- KRISTEN SISCO
- Title
- MEMBER LLC
- Phone
- (253) 862-4441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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