| Organization Name: | BELLA VIDA MASSAGE & BODYWORK, LLC |
| NPI Number: | 1053712018 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH ANNE ROBBINS (OWNER/MASSAGE THERAPIST) |
| Mailing Address: | 239 S 1st St Saint Helens |
| State: | OR US |
| Postal Code: | 970512003 |
| Phone Number: | 5033969617 |
| Fax Number: | |
| NPI Enumeration Date: | 09/09/2014 |
| NPI Last Update Date: | 09/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 14160 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |