Healthcare Provider Details
I. General information
NPI: 1982963807
Provider Name (Legal Business Name): HAND TO HEALTH THERAPEUTIC MASSAGE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2012
Last Update Date: 05/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
730 N HAMILTON ST
SPOKANE WA
99202-2045
US
IV. Provider business mailing address
730 N HAMILTON ST
SPOKANE WA
99202-2045
US
V. Phone/Fax
- Phone: 509-487-4788
- Fax: 509-487-1170
- Phone: 509-487-4788
- Fax: 509-487-1170
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | MA00018586 |
| License Number State | WA |
VIII. Authorized Official
Name:
DIANE
L
SWIFT
Title or Position: OWNER
Credential: LMP
Phone: 509-487-4788