Healthcare Provider Details

I. General information

NPI: 1699686766
Provider Name (Legal Business Name): NOCTIS VIDA MASSAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8222 W WHITE RD
CHENEY WA
99004-8677
US

IV. Provider business mailing address

8222 W WHITE RD
CHENEY WA
99004-8677
US

V. Phone/Fax

Practice location:
  • Phone: 509-655-5057
  • Fax:
Mailing address:
  • Phone: 509-655-5057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: REBECCA SINGER
Title or Position: OWNER/PROVIDER
Credential: LMT
Phone: 509-655-5057