Provider Demographics
NPI:1558997965
Name:ALDER RIDGE MASSAGE AND ESSENTIAL OILS
Entity Type:Organization
Organization Name:ALDER RIDGE MASSAGE AND ESSENTIAL OILS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AUBRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:360-601-0232
Mailing Address - Street 1:24019 NE 424TH ST
Mailing Address - Street 2:
Mailing Address - City:AMBOY
Mailing Address - State:WA
Mailing Address - Zip Code:98601-4531
Mailing Address - Country:US
Mailing Address - Phone:360-601-0232
Mailing Address - Fax:360-247-5052
Practice Address - Street 1:650 GOERIG ST, STE E
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:WA
Practice Address - Zip Code:98674-9401
Practice Address - Country:US
Practice Address - Phone:360-601-0232
Practice Address - Fax:360-247-5052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
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
WA1376729566OtherNPI