Provider Demographics
NPI:1275109332
Name:KNOT-RELEASE THERAPIES
Entity Type:Organization
Organization Name:KNOT-RELEASE THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:NACACIA
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MA 60086572
Authorized Official - Phone:509-350-5616
Mailing Address - Street 1:1206 E WHEELER RD
Mailing Address - Street 2:
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-1860
Mailing Address - Country:US
Mailing Address - Phone:509-350-5616
Mailing Address - Fax:509-707-0208
Practice Address - Street 1:1206 E WHEELER RD
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-1860
Practice Address - Country:US
Practice Address - Phone:509-350-5616
Practice Address - Fax:509-707-0208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-31
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty