Healthcare Provider Details

I. General information

NPI: 1912829045
Provider Name (Legal Business Name): WHIDBEY PRODUCTIONS INC. DBA WHIDBEY MASSAGE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 MAIN ST
FREELAND WA
98249-9423
US

IV. Provider business mailing address

1705 MAIN ST
FREELAND WA
98249-9423
US

V. Phone/Fax

Practice location:
  • Phone: 360-217-9303
  • Fax:
Mailing address:
  • Phone: 360-217-9303
  • 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: MARC JUNEAU
Title or Position: OWNER/LIC.MASSAGE THERAPIST
Credential: LMT
Phone: 360-217-9303