Provider Demographics
NPI:1417341272
Name:H&S NORTHWEST LLC
Entity Type:Organization
Organization Name:H&S NORTHWEST LLC
Other - Org Name:HAND & STONE MASSAGE AND FACIAL SPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-635-3496
Mailing Address - Street 1:10013 NE HAZEL DELL AVE
Mailing Address - Street 2:SUITE 421
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-5203
Mailing Address - Country:US
Mailing Address - Phone:360-635-3496
Mailing Address - Fax:360-546-0357
Practice Address - Street 1:10013 NE HAZEL DELL AVE
Practice Address - Street 2:SUITE 421
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-5203
Practice Address - Country:US
Practice Address - Phone:360-635-3496
Practice Address - Fax:360-546-0357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty