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CKE LONGEVITY LLC NPI 1104263599


NPI Information

NPI: 1104263599
Provider Name: CKE LONGEVITY LLC

Doing Business As: ELEMENTS THERAPEUTIC MASSAGE

Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
1319 NE 134TH ST
SUITE 103
VANCOUVER, WA
ZIP 98685
Phone: (360) 574-3141
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CKE LONGEVITY LLC is a massage therapist in Vancouver, 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. CKE LONGEVITY LLC NPI is 1104263599. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Elements Therapeutic Massage.

The provider's business location address is:

1319 NE 134TH ST
SUITE 103
VANCOUVER, WA
ZIP 98685-717
Phone: (360) 574-3141

The provider's authorized official is Regina Marie Swartz .
The authorized official title is Owner and has the following contact phone number (360) 574-3141.

The enumeration date for this NPI number is 5/27/2013 and was last updated on 5/27/2013.


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

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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