JADE VINE MASSAGE NPI 1407368293

NPI Information

JADE VINE MASSAGE is a massage therapist in Soldotna, AK. 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. JADE VINE MASSAGE NPI is 1407368293. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

43335 KALIFORNSKY BEACH RD STE 25
SOLDOTNA, AK
ZIP 99669-280
Phone: (907) 394-8345
Fax: (907) 283-5350

The provider's authorized official is Hannah Camilla Nusbaum .
The authorized official title is Owner and has the following contact phone number (907) 394-8645.

The enumeration date for this NPI number is 11/1/2017 and was last updated on 11/1/2017.

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:

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