SELF BALANCE MASSAGE NPI 1659798437

NPI Information

SELF BALANCE MASSAGE 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. SELF BALANCE MASSAGE NPI is 1659798437. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5107 NE 94TH AVE STE A
VANCOUVER, WA
ZIP 98662-188
Phone: (360) 202-7085
Fax: (801) 501-7085

The provider's authorized official is Teresa L Bonawitz .
The authorized official title is Co-owner and has the following contact phone number (360) 202-7085.

The enumeration date for this NPI number is 3/18/2014 and was last updated on 3/18/2014.

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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