Grassroots of Spokane LLC

NPI #1376871657 in Spokane, Washington

Provider Information

NPI Number: 1376871657
Entity Type: Organization
Organization Name: Grassroots of Spokane LLC
Primary Specialty: Massage Therapist
Enumeration Date: Nov 25, 2009
Last Updated: Nov 25, 2009

Practice Location

Address: 1303 S GRAND BLVD
City: Spokane
State: Washington
ZIP Code: 99202-1136
Phone: (509) 474-0213

Authorized Official

Name: FELISHA D PEDERSON
Title: BILLING MANAGER
Phone: (509) 315-5561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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