Organization Name: | BOLESKY INTENTION INC |
NPI Number: | 1235329251 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN L BOLESKY (OWNER PRESIDENT CORP) |
Mailing Address: | 730 Gravity Way Buckley |
State: | WA US |
Postal Code: | 983219587 |
Phone Number: | 3608291025 |
Fax Number: | 3608292805 |
NPI Enumeration Date: | 07/26/2007 |
NPI Last Update Date: | 07/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00004219 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |