Sunrise Therapeutic Massage

NPI #1417262106 in Puyallup, Washington

Provider Information

NPI Number: 1417262106
Entity Type: Organization
Organization Name: Sunrise Therapeutic Massage
Primary Specialty: Massage Therapist
Enumeration Date: Aug 18, 2010
Last Updated: Aug 18, 2010

Practice Location

Address: 11216 SUNRISE BLVD E
Address 2: SUITE #3-108
City: Puyallup
State: Washington
ZIP Code: 98374-8848
Phone: (253) 604-0505

Authorized Official

Name: JONI ALLEN, LMP
Title: OWNER/MANAGING MEMBER
Phone: (360) 402-4792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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