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ROOTED SPRUCE MASSAGE AND BODYWORK NPI 1366092132


NPI Information

NPI: 1366092132
Provider Name: ROOTED SPRUCE MASSAGE AND BODYWORK
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
120 NE 117TH AVE RM 8
VANCOUVER, WA
ZIP 98684
Phone: (971) 770-1360
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ROOTED SPRUCE MASSAGE AND BODYWORK 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. ROOTED SPRUCE MASSAGE AND BODYWORK NPI is 1366092132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 NE 117TH AVE RM 8
VANCOUVER, WA
ZIP 98684-020
Phone: (971) 770-1360

The provider's authorized official is Imuya Lee Dooley Mcdaniel .
The authorized official title is Owner and has the following contact phone number (971) 770-1360.

The enumeration date for this NPI number is 9/13/2019 and was last updated on 9/13/2019.


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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.