Provider Demographics
NPI:1275297202
Name:ART OF MUSCULAR THERAPY. LLC
Entity Type:Organization
Organization Name:ART OF MUSCULAR THERAPY. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOHRMANN-PECK
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:360-952-1912
Mailing Address - Street 1:3901 NE 132ND CT
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-6926
Mailing Address - Country:US
Mailing Address - Phone:360-952-1912
Mailing Address - Fax:
Practice Address - Street 1:4001 MAIN ST STE 324
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-1888
Practice Address - Country:US
Practice Address - Phone:360-952-1912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty