Healthcare Provider Details

I. General information

NPI: 1346459302
Provider Name (Legal Business Name): ESCAPE MASSAGE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 NE 117TH AVE
VANCOUVER WA
98684-5020
US

IV. Provider business mailing address

120 NE 117TH AVE
VANCOUVER WA
98684-5020
US

V. Phone/Fax

Practice location:
  • Phone: 360-944-6692
  • Fax: 360-944-7732
Mailing address:
  • Phone: 360-944-6692
  • Fax: 360-944-7732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00034699
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00000759
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00010320
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00016616
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00017876
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00023440
License Number StateWA
# 7
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00019889
License Number StateWA
# 8
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00016050
License Number StateWA
# 9
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00018153
License Number StateWA
# 10
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00022035
License Number StateWA
# 11
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00023428
License Number StateWA
# 12
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00018303
License Number StateWA

VIII. Authorized Official

Name: ANDREA COLLIER
Title or Position: OWNER OPERATOR
Credential: LMP
Phone: 360-944-6692