MEDICARE: REMEDY RUBY MOON REA

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
1	225700000X	Massage Therapist	MASS.MA.70070268	WA

General Provider Information

NPI Number	:	1972459709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REMEDY RUBY MOON REA

Provider Business Mailing Address
First Line	:	405 BLACK HILLS LN SW STE D2
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-8661
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 BLACK HILLS LN SW STE D2
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-8661
Country	:	US
Telephone Number	:	425-202-5210
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

Similar Medicare Providers

1174631931 — APRIA HEALTHCARE LLC
Practice Location Address:

405 BLACK HILLS LN SW , SUITE A
OLYMPIA, WA
98502-8661

Practice Phone: 360-352-1753
Practice Fax: 360-352-5966

1861503807 — MARIA C HUANG MD
Practice Location Address:

405 BLACK HILLS LN SW STE B2
OLYMPIA, WA
98502-8661

Practice Phone: 360-472-2772
Practice Fax: 360-964-3661

1609958271 — DR. CURTIS DALE REINKE MD
Practice Location Address:

405 BLACK HILLS LN SW STE C
OLYMPIA, WA
98502-8661

Practice Phone: 360-956-1725
Practice Fax: 360-705-2557

1427122050 — DR. MIKEL RAY GOMEZ M.D.
Practice Location Address:

405 BLACK HILLS LN SW STE F
OLYMPIA, WA
98502-8661

Practice Phone: 360-357-4778
Practice Fax: 360-357-4590

1316087042 — DANIEL M. KATZ D.O.
Practice Location Address:

405 BLACK HILLS LN SW , SUITE B1
OLYMPIA, WA
98502-8661

Practice Phone: 360-705-1015
Practice Fax: 360-705-1313

1326269739 — MR. JACK ANTHONY WILDER PT
Practice Location Address:

405 BLACK HILLS LN SW , SUITE G
OLYMPIA, WA
98502-8661

Practice Phone: 360-956-2562
Practice Fax: 360-956-1894

Directions to “ REMEDY RUBY MOON REA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.