Healthcare Provider Details

I. General information

NPI: 1265343735
Provider Name (Legal Business Name): VICTORIA BOND LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4902 TACOMA MALL BLVD
TACOMA WA
98409-7149
US

IV. Provider business mailing address

12592 OLALLA VALLEY RD SE
OLALLA WA
98359-9745
US

V. Phone/Fax

Practice location:
  • Phone: 253-473-0300
  • Fax:
Mailing address:
  • Phone: 253-208-4883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASS.MA.70149724
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: