Provider Demographics
NPI:1326241993
Name:HONU MASSAGE
Entity Type:Organization
Organization Name:HONU MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARIK
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:GOHL
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:253-468-7200
Mailing Address - Street 1:2302 S UNION AVE
Mailing Address - Street 2:C-30
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1300
Mailing Address - Country:US
Mailing Address - Phone:253-468-7200
Mailing Address - Fax:253-474-5863
Practice Address - Street 1:2302 S UNION AVE
Practice Address - Street 2:C-30
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1300
Practice Address - Country:US
Practice Address - Phone:253-468-7200
Practice Address - Fax:253-474-5863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00013106174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty