Organization Name: | THERAPEUTIC HEALTH LLC |
NPI Number: | 1013200807 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSICA MEYBURG (OWNER/THERAPIST) |
Mailing Address: | 230 W 3rd Street North Bend |
State: | WA US |
Postal Code: | 98045 |
Phone Number: | 4257652800 |
Fax Number: | 8778429526 |
NPI Enumeration Date: | 05/26/2011 |
NPI Last Update Date: | 05/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA 00019032 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |