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NPI Code Detail

MEDICARE: MONROE ST. MASSAGE WORKS

MEDICARE: MONROE ST. MASSAGE WORKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11396183554OTHERWANPI NUMBER MY INDIVIDUAL NUMBER

General Provider Information

NPI Number : 1730743360
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONROE ST. MASSAGE WORKS
Provider Business Mailing Address
First Line : 614 E 27TH AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99203-2441
Country : US
Telephone Number : 509-869-5605
Fax Number :
Provider Business Practice Location Address
First Line : 1427 N MONROE ST
Second Line :
City : SPOKANE
State : WA
Zip : 99201-2624
Country : US
Telephone Number : 509-850-6126
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. CHRISTINA BRAATEN
Credential : LMP
Telephone Number : 509-869-5605
Provider Enumeration Date : 04/29/2019
Last Update Date : 04/29/2019

Similar Medicare Providers

1396183554 — MRS. CHRISTINA BRAATEN LMP
Practice Location Address:
1427 N MONROE ST
SPOKANE, WA
99201-2624
Practice Phone: 509-328-3285
Practice Fax:
1891642674 — SARAH SEVERSON LICSWA
Practice Location Address:
2624 E 14TH AVE
SPOKANE, WA
99202-4330
Practice Phone: 509-919-8822
Practice Fax:
1316492671 — MANITO FAMILY DENTISTRY
Practice Location Address:
3615 S GRAND BLVD
SPOKANE, WA
99203-2624
Practice Phone: 509-456-8676
Practice Fax: 509-456-8678
1780160333 — KELLY HENNESSEY SOMERS DDS
Practice Location Address:
3615 S GRAND BLVD
SPOKANE, WA
99203-2624
Practice Phone: 509-456-8676
Practice Fax: 509-456-8679
1710455902 — ABBY LYNETTE ERICKSON BA, MS
Practice Location Address:
2624 N DIVISION ST # 1100
SPOKANE, WA
99207-2129
Practice Phone: 509-850-0112
Practice Fax:
1780264101 — BENJAMIN ALAN RUCKER LMHC
Practice Location Address:
2624 N DIVISION ST # 1009
SPOKANE, WA
99207-2129
Practice Phone: 612-799-5707
Practice Fax: 971-369-9478

Directions to “MONROE ST. MASSAGE WORKS ” Practice Location

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