Organization Name: | ESSENTIAL MASSAGE |
NPI Number: | 1144591447 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CASSIE MICHELE BAKER (LMP/OWNER) |
Mailing Address: | 421 W Riverside Ave Ste 614 Spokane |
State: | WA US |
Postal Code: | 992010402 |
Phone Number: | 5094741885 |
Fax Number: | 5094749756 |
NPI Enumeration Date: | 01/18/2012 |
NPI Last Update Date: | 09/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00021616 |
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. |