Changing Tides LLC

NPI #1902096712 in Poulsbo, Washington

Provider Information

NPI Number: 1902096712
Entity Type: Organization
Organization Name: Changing Tides LLC
Primary Specialty: Massage Therapist
Enumeration Date: Jul 27, 2007
Last Updated: Jul 27, 2007

Practice Location

Address: 21222 VIKING AVE NW
City: Poulsbo
State: Washington
ZIP Code: 98370
Phone: (360) 731-9717

Authorized Official

Name: MISS CLAIRE ANN BROWN, LICENSED MASSAGE PRA
Title: LMP MANAGER
Phone: (360) 731-9717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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