| Vitality Massage | |
|
307 E. Robert Bush Drive Suite #4, South Bend, WA 98586-9858 | |
| (360) 942-7956 | |
| Not Available |
| Full Name | Vitality Massage |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 307 E. Robert Bush Drive Suite #4, South Bend, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740766328 | NPI | - | NPPES |
| 1497928055 | Other | WA | PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA00025266 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Massage Po Box 246, South Bend, WA 98586-0246 Ph: (360) 942-7956 | Vitality Massage 307 E. Robert Bush Drive Suite #4, South Bend, WA 98586-9858 Ph: (360) 942-7956 |
Mrs. Diane Lee Geiger, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 W Robert Bush Dr, Box 211, South Bend, WA 98586 Phone: 360-875-5543 Fax: 360-875-5544 | |
Ramona Shatraw, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 903 W. 1st. Street, South Bend, WA 98586 Phone: 208-627-7637 | |
Myograsp Bodywork Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 W Robert Bush Dr, South Bend, WA 98586 Phone: 208-627-7636 |