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FITNESS RECOVERY ROOM LLC NPI 1013453554


NPI Information

NPI: 1013453554
Provider Name: FITNESS RECOVERY ROOM LLC

Doing Business As: HAWKS PRAIRIE MASSAGE CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
8830 TALLON LN NE
F
LACEY, WA
ZIP 98516
Phone: (360) 819-2877
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FITNESS RECOVERY ROOM LLC is a clinic center in Lacey, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FITNESS RECOVERY ROOM LLC NPI is 1013453554. The provider is registered as an organization entity type.
The provider Is Doing Business As Hawks Prairie Massage Clinic.

The provider's business location address is:

8830 TALLON LN NE
F
LACEY, WA
ZIP 98516-656
Phone: (360) 819-2877

The provider's authorized official is Jamil Ellinger .
The authorized official title is Owner/registered Agent and has the following contact phone number (360) 951-4893.

The enumeration date for this NPI number is 1/9/2017 and was last updated on 1/9/2017.


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
1261Q00000XClinic/Center603440613WASHINGTONYes

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: 4/28/2024

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