Provider Demographics
NPI:1275216343
Name:MUSCLE REHAB MASSAGE
Entity Type:Organization
Organization Name:MUSCLE REHAB MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TINSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:206-503-3679
Mailing Address - Street 1:PO BOX 1292
Mailing Address - Street 2:
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019-1292
Mailing Address - Country:US
Mailing Address - Phone:206-503-3679
Mailing Address - Fax:
Practice Address - Street 1:15321 MAIN ST NE STE 324
Practice Address - Street 2:
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019-8574
Practice Address - Country:US
Practice Address - Phone:206-503-3679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty