Provider Demographics
NPI:1356013767
Name:MASSAGE FOR LIFE LLC
Entity Type:Organization
Organization Name:MASSAGE FOR LIFE LLC
Other - Org Name:BE STILL WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/LMT
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:URANN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:509-270-6862
Mailing Address - Street 1:400 S JEFFERSON ST STE 304
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-3144
Mailing Address - Country:US
Mailing Address - Phone:509-270-6862
Mailing Address - Fax:
Practice Address - Street 1:400 S JEFFERSON ST STE 304
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-3144
Practice Address - Country:US
Practice Address - Phone:509-270-6862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-06
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
WA1578931200OtherNPI