1588897797 NPI number — SYMMETRY MASSAGE AND FITNESS, LLC

Table of content: (NPI 1588897797)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588897797 NPI number — SYMMETRY MASSAGE AND FITNESS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SYMMETRY MASSAGE AND FITNESS, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588897797
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/03/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1271
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHOUGAL
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98671-0927
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-609-4022
Provider Business Mailing Address Fax Number:
360-210-4208

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16508 SE 24TH ST
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98683-4321
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-609-4022
Provider Business Practice Location Address Fax Number:
360-210-4208
Provider Enumeration Date:
09/03/2009

Additional Information

Authorized Official

Authorized Official Last Name:
BALDWIN
Authorized Official First Name:
JENNY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/MASSAGE THERAPIST
Authorized Official Telephone Number:
360-609-4022

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  MA00019126 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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