Provider Demographics
NPI:1023211984
Name:THE J.W. MARINO CORPORATION
Entity Type:Organization
Organization Name:THE J.W. MARINO CORPORATION
Other - Org Name:MARINO SALON AND SPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:MARINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-946-2000
Mailing Address - Street 1:1305 S 312TH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-9028
Mailing Address - Country:US
Mailing Address - Phone:253-946-2000
Mailing Address - Fax:253-946-8888
Practice Address - Street 1:1305 S 312TH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-9028
Practice Address - Country:US
Practice Address - Phone:253-946-2000
Practice Address - Fax:253-946-8888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty