Healthcare Provider Details

I. General information

NPI: 1548170723
Provider Name (Legal Business Name): THE HEALING HANDS LMT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

19550 SE BRADY RD STE 19
CAMAS WA
98607-8476
US

IV. Provider business mailing address

19550 SE BRADY RD
CAMAS WA
98607-8476
US

V. Phone/Fax

Practice location:
  • Phone: 360-513-9208
  • Fax:
Mailing address:
  • Phone: 360-513-9208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: JUNHUA GUAN
Title or Position: OWNER
Credential: LMT
Phone: 360-513-9208