Healthcare Provider Details

I. General information

NPI: 1134084759
Provider Name (Legal Business Name): CHRISTINA FRANCESCA MCCOY LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6923 NW FRIBERG STRUNK ST STE 140
CAMAS WA
98607-7796
US

IV. Provider business mailing address

6923 NW FRIBERG STRUNK ST STE 140
CAMAS WA
98607-7796
US

V. Phone/Fax

Practice location:
  • Phone: 360-787-1887
  • Fax:
Mailing address:
  • Phone: 360-787-1887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASS.MA7006717
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: