Healthcare Provider Details

I. General information

NPI: 1689086670
Provider Name (Legal Business Name): A BETTER WAY MASSAGE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2014
Last Update Date: 01/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N COLUMBIA RIVER HWY STE 410
SAINT HELENS OR
97051-1299
US

IV. Provider business mailing address

500 N COLUMBIA RIVER HWY STE 410
SAINT HELENS OR
97051-1299
US

V. Phone/Fax

Practice location:
  • Phone: 971-409-5669
  • Fax:
Mailing address:
  • Phone: 503-410-5623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number15194
License Number StateOR

VIII. Authorized Official

Name: CRYSTAL FARLOW
Title or Position: OWNER
Credential: LMT
Phone: 503-410-5623