Provider Demographics
NPI:1861862351
Name:RESTORATIVE TOUCH
Entity Type:Organization
Organization Name:RESTORATIVE TOUCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KAYLEE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:LEVNO
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:509-368-1984
Mailing Address - Street 1:1219 N REES RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-1937
Mailing Address - Country:US
Mailing Address - Phone:509-368-1984
Mailing Address - Fax:
Practice Address - Street 1:325 S SULLIVAN RD STE B
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99037-6019
Practice Address - Country:US
Practice Address - Phone:509-928-9098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60547223225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty