Provider Demographics
NPI:1124581434
Name:STRESS RELIEF SOLUTIONS
Entity Type:Organization
Organization Name:STRESS RELIEF SOLUTIONS
Other - Org Name:STRESS RELIEF SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CERTIFIED NEUROMUSCULAR THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CLYDE
Authorized Official - Middle Name:O
Authorized Official - Last Name:MCDADE
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:360-763-9439
Mailing Address - Street 1:402 BLACK HILLS LN SW STE C
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-8146
Mailing Address - Country:US
Mailing Address - Phone:360-763-9439
Mailing Address - Fax:360-252-6139
Practice Address - Street 1:402 BLACK HILLS LN SW STE C
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-8146
Practice Address - Country:US
Practice Address - Phone:360-763-9439
Practice Address - Fax:360-252-6139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1124581434OtherORGANIZATION NPI