Healthcare Provider Details
I. General information
NPI: 1033912886
Provider Name (Legal Business Name): NATASHA SKOGLUN LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/28/2025
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
769 RIVERSIDE DR
WENATCHEE WA
98801-6146
US
IV. Provider business mailing address
102 S WILSON ST
WENATCHEE WA
98801-2526
US
V. Phone/Fax
- Phone: 509-460-2187
- Fax:
- Phone: 509-764-4910
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: