Provider Demographics
NPI:1013032853
Name:BODYMECHANICS MASSAGE SERVICES, INC.
Entity Type:Organization
Organization Name:BODYMECHANICS MASSAGE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BURTON
Authorized Official - Last Name:HAASE
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:360-918-8700
Mailing Address - Street 1:PO BOX 12211
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98508-2211
Mailing Address - Country:US
Mailing Address - Phone:360-918-8700
Mailing Address - Fax:360-786-1983
Practice Address - Street 1:3025 LIMITED LN NW
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-2613
Practice Address - Country:US
Practice Address - Phone:360-786-8582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00005263225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty