DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BLUE MOON MASSAGE STUDIO, LLC

MEDICARE: BLUE MOON MASSAGE STUDIO, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171W00000XContractorMA 00007473WA

General Provider Information

NPI Number : 1174952964
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUE MOON MASSAGE STUDIO, LLC
Provider Business Mailing Address
First Line : 7700 PIONEER WAY
Second Line : SUITE 101
City : GIG HARBOR
State : WA
Zip : 98335-1156
Country : US
Telephone Number : 253-509-0258
Fax Number :
Provider Business Practice Location Address
First Line : 7700 PIONEER WAY
Second Line : SUITE 101
City : GIG HARBOR
State : WA
Zip : 98335-1156
Country : US
Telephone Number : 253-509-0258
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CONNIE RYE
Credential : LMP
Telephone Number : 253-509-0258
Provider Enumeration Date : 11/02/2013
Last Update Date : 11/02/2013

Similar Medicare Providers

1407140528 — ANN MARIE TIBBETTS
Practice Location Address:
7700 PIONEER WAY , SUITE 101
GIG HARBOR, WA
98335-1156
Practice Phone: 619-347-3366
Practice Fax:
1891081956 — KERIEN LYNN HAUGEN L.M.P
Practice Location Address:
7700 PIONEER WAY
GIG HARBOR, WA
98335-1156
Practice Phone: 253-509-0258
Practice Fax:
1609130780 — ANNA M JEWELL L.M.P.
Practice Location Address:
7700 PIONEER WAY , SUITE 101
GIG HARBOR, WA
98335-1156
Practice Phone: 253-509-0258
Practice Fax:
1831442946 — NICOLE MONIQUE CUEVAS
Practice Location Address:
7700 PIONEER WAY , SUITE 101
GIG HARBOR, WA
98335-1156
Practice Phone: 253-509-0258
Practice Fax: 253-509-0297
1154667897 — CANDY L EGAN
Practice Location Address:
7700 PIONEER WAY , SUITE 101
GIG HARBOR, WA
98335-1156
Practice Phone: 253-509-0258
Practice Fax:
1184023988 — ELTON RAY BUSBY LMP
Practice Location Address:
7700 PIONEER WAY , SUITE 101
GIG HARBOR, WA
98335-1156
Practice Phone: 253-509-0258
Practice Fax:

Directions to “BLUE MOON MASSAGE STUDIO, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.