Healthcare Provider Details

I. General information

NPI: 1073422861
Provider Name (Legal Business Name): MORGAN GRACE REID
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3533 CHUCKANUT DR
BOW WA
98232-8564
US

IV. Provider business mailing address

1059 SHAW RD
BELLINGHAM WA
98229-8219
US

V. Phone/Fax

Practice location:
  • Phone: 360-840-2248
  • Fax:
Mailing address:
  • Phone: 816-694-6350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASS.MA.70049101
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: