Organization Name: | PREMIER MASSAGE STAFFING AGENCY, INC |
NPI Number: | 1568872893 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTY J BURDYSHAW (OWNER, DIRECTOR, LMP) |
Mailing Address: | 15321 45th Ave Nw Gig Harbor |
State: | WA US |
Postal Code: | 983328016 |
Phone Number: | 2535143122 |
Fax Number: | 2538574900 |
NPI Enumeration Date: | 05/08/2014 |
NPI Last Update Date: | 05/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 601697397 |
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. |