Provider Demographics
NPI:1497297428
Name:HEALING IN MOTION INC
Entity Type:Organization
Organization Name:HEALING IN MOTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /LMT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOLLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:360-524-1420
Mailing Address - Street 1:3777 ADDY ST UNIT 41
Mailing Address - Street 2:
Mailing Address - City:WASHOUGAL
Mailing Address - State:WA
Mailing Address - Zip Code:98671-2768
Mailing Address - Country:US
Mailing Address - Phone:360-524-1420
Mailing Address - Fax:360-433-9400
Practice Address - Street 1:16906 SE 1ST ST STE 103
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-8512
Practice Address - Country:US
Practice Address - Phone:360-524-1420
Practice Address - Fax:360-433-9400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60181441225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty