Provider Demographics
NPI:1740633155
Name:Z-VA LLC DBA Z-VA DAY SPA
Entity type:Organization
Organization Name:Z-VA LLC DBA Z-VA DAY SPA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEANNA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:ERRICSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:503-305-7231
Mailing Address - Street 1:1673 10TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-4679
Mailing Address - Country:US
Mailing Address - Phone:503-305-7231
Mailing Address - Fax:503-305-7232
Practice Address - Street 1:1673 10TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-4679
Practice Address - Country:US
Practice Address - Phone:503-305-7231
Practice Address - Fax:503-305-7232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty