Provider Demographics
NPI:1295413383
Name:ARC MASSAGE AND FAMILY WELLNESS CENTER
Entity type:Organization
Organization Name:ARC MASSAGE AND FAMILY WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAUCTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-632-2032
Mailing Address - Street 1:200 S TOBIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-5338
Mailing Address - Country:US
Mailing Address - Phone:206-475-3574
Mailing Address - Fax:206-258-8843
Practice Address - Street 1:200 S TOBIN ST STE A
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-5338
Practice Address - Country:US
Practice Address - Phone:206-475-3574
Practice Address - Fax:206-258-8843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty