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NPI Code Detail

MEDICARE: DAMIAN JUSTIN WOODARD MASSAGE THERAPIST

MEDICARE: DAMIAN JUSTIN WOODARD MASSAGE THERAPIST
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 TherapistMASS.MA.60899469WA

General Provider Information

NPI Number : 1790643047
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMIAN JUSTIN WOODARD MASSAGE THERAPIST
Provider Business Mailing Address
First Line : 17010 E DESMET CT APT P201
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99216-3607
Country : US
Telephone Number : 509-768-0134
Fax Number :
Provider Business Practice Location Address
First Line : 13701 E SPRAGUE AVE # 3
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99216-0811
Country : US
Telephone Number : 509-922-4458
Fax Number : 509-922-8234
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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Directions to “ DAMIAN JUSTIN WOODARD MASSAGE THERAPIST” Practice Location

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