Indigo Fountain Massage

NPI #1689091605 in Silverdale, Washington

Provider Information

NPI Number
1689091605
Entity Type
Organization
Organization Name
Indigo Fountain Massage
Primary Specialty
Massage Therapist
Enumeration Date
Mar 27, 2014
Last Updated
Mar 27, 2014

Practice Location

Address
3656 NW MUNSON ST
Address 2
#1
ZIP Code
98383-9140
Phone
(360) 731-8665

Authorized Official

Name
MS. ANTHEA E HAY, LMP
Title
LICENSED MASSAGE PRACTITIONER
Phone
(360) 731-8665

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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