Provider Demographics
NPI:1720518228
Name:HEALING BODYWORKS
Entity Type:Organization
Organization Name:HEALING BODYWORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / LMP
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-213-3202
Mailing Address - Street 1:2754 E MCLOUGHLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-4722
Mailing Address - Country:US
Mailing Address - Phone:360-213-3202
Mailing Address - Fax:
Practice Address - Street 1:100 E 13TH ST STE 111
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3329
Practice Address - Country:US
Practice Address - Phone:971-319-5760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-16
Last Update Date:2017-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60238022225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty