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NPI Code Detail

MEDICARE: PURPLE PEAR BODY THERAPY

MEDICARE: PURPLE PEAR BODY THERAPY
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
1174400000XSpecialist600600935WA

General Provider Information

NPI Number : 1235561903
Entity Type Code : Organization
Provider Name (Legal Business Name) : PURPLE PEAR BODY THERAPY
Provider Business Mailing Address
First Line : 113 S PARKWAY AVE
Second Line :
City : BATTLE GROUND
State : WA
Zip : 98604-9294
Country : US
Telephone Number : 360-687-1781
Fax Number : 360-687-8458
Provider Business Practice Location Address
First Line : 113 S PARKWAY AVE
Second Line :
City : BATTLE GROUND
State : WA
Zip : 98604-9294
Country : US
Telephone Number : 360-687-1781
Fax Number : 360-687-8458
Authorized Official
Title or Position : OWNER
Name : SANDRA KNAPP
Credential :
Telephone Number : 360-687-1781
Provider Enumeration Date : 08/05/2013
Last Update Date : 08/05/2013

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Directions to “PURPLE PEAR BODY THERAPY ” Practice Location

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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.

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