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General NPI Number Information
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NPI Number | 1134066772
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Entity Type | Organization
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Legal Business Name | VESICA WELLNESS PLLC
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 18810 MERIDIAN E STE 107
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City | PUYALLUP
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State | WA
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Zip | 98375-2249
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Country | US
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Telephone | 253-720-1650
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Fax |
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Provider Business Mailing Address
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Address Line | 10218 194TH ST E APT I203
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City | GRAHAM
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State | WA
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Zip | 98338-5115
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Country | US
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Telephone | 253-720-1650
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST / OWNER
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Name | CHRISTINE MAY
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Credential | LMT
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Telephone | 253-720-1650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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