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DRAGONFLY MEDICAL MASSAGE STUDIO LLC NPI 1518573179


NPI Information

NPI: 1518573179
Provider Name: DRAGONFLY MEDICAL MASSAGE STUDIO LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
3405 W NOB HILL BLVD STE A
YAKIMA, WA
ZIP 98902
Phone: (509) 961-8314
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DRAGONFLY MEDICAL MASSAGE STUDIO LLC is a massage therapist in Yakima, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. DRAGONFLY MEDICAL MASSAGE STUDIO LLC NPI is 1518573179. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3405 W NOB HILL BLVD STE A
YAKIMA, WA
ZIP 98902-732
Phone: (509) 961-8314
Fax: (509) 588-7916

The provider's authorized official is Jerica Lennartz Mortimer .
The authorized official title is Licensed Massage Therapist and has the following contact phone number (509) 961-8314.

The enumeration date for this NPI number is 9/18/2020 and was last updated on 9/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MA61018816OTHERWASHINGTONMASSAGE THERAPY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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