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General NPI Number Information
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NPI Number | 1639039258
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Entity Type | Organization
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Legal Business Name | SPOKANE FAMILY MASSAGE PLLC
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Dates
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Enumeration Date | 11/15/2025
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Last Update Date | 11/15/2025
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Provider Practice Location Address
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Address Line | 5544 N WALL ST
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City | SPOKANE
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State | WA
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Zip | 99205-6434
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Country | US
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Telephone | 509-998-8437
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Fax | 509-598-2543
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Provider Business Mailing Address
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Address Line | 5544 N WALL ST
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City | SPOKANE
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State | WA
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Zip | 99205-6434
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Country | US
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Telephone | 509-998-8437
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Fax | 509-598-2543
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Authorized Official
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Title or Position | OWNER/MASSAGE THERAPIST
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Name | JEANENNE GARCIA
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Credential |
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Telephone | 509-599-4114
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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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