Jasmine Phoenix in Clear Lake - Massage Therapist
Jasmine Phoenix - NPI 1265642847
Jasmine Phoenix is a Massage Therapist in Clear Lake, Washington. Jasmine Phoenix practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Jasmine Phoenix is 1265642847. The last update date is 2007-07-08.
Jasmine Phoenix's current location address is 12263 North Mill Street, Clear Lake, Washington. You can contact this provider via phone number 3608565354. The mailing address for Jasmine Phoenix is 12263 North Mill Street, Clear Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jasmine Phoenix |
|---|---|
| Address | 12263 North Mill Street, Clear Lake, Washington |
| Phone Number | 3608565354 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.M.P. |
NPI Number Detail
| NPI Number | 1265642847 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12263 North Mill Street |
|---|---|
| City | Clear Lake |
| State | Washington (WA) |
| Post Code | 98235 |
| Phone Number | 3608565354 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA00000839 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 158184 | WA | LABOR AND INDUSTRIES |
Post Comment/ Review Below
What is the Jasmine Phoenix's unique identification number?
The Jasmine Phoenix has been assigned the NPI (National Provider Identifier) Number 1265642847 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jasmine Phoenix's physical address?
The Jasmine Phoenix is physically located at 12263 North Mill Street, in the city of Clear Lake, WA, with the postal code 98235.
What is the area of specialization for Jasmine Phoenix, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jasmine Phoenix is Massage Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225700000X.
On what date did the Jasmine Phoenix receive its 1265642847 assignment from the Centers for Medicare & Medicaid Services?
The Jasmine Phoenix was assigned its 1265642847 by the Centers for Medicare & Medicaid Services on 2007-05-23.
When was the information regarding Jasmine Phoenix most recently updated?
The details pertaining to the Jasmine Phoenix, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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