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General NPI Number Information
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NPI Number | 1457168916
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Entity Type | Organization
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Legal Business Name | GREER MASSAGE LLC
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 7901 SKANSIE AVE STE 110
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City | GIG HARBOR
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State | WA
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Zip | 98335-8349
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Country | US
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Telephone | 253-225-5383
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Fax |
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Provider Business Mailing Address
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Address Line | 805 114TH ST S
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City | TACOMA
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State | WA
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Zip | 98444-3205
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GRETA GREER
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Credential | MA
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Telephone | 253-225-9726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number |
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License Number State |
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