Massage Restoration LLC
NPI #1497359350 in Lacey, Washington
Provider Information
- NPI Number
- 1497359350
- Entity Type
- Organization
- Organization Name
- Massage Restoration LLC
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Nov 22, 2020
- Last Updated
- Nov 22, 2020
Practice Location
- Address
- 4520 INTELCO LOOP SE BLDG 3
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-6008
- Phone
- (360) 388-0485
Authorized Official
- Name
- JACLYN JUNE MONGE SOUTHARD, LMT
- Title
- OWNER
- Phone
- (360) 388-0485
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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