Blue Moon Massage Studio, LLC
Organization Active NPI Contractor · Gig Harbor, WA
NPI 1174952964 · NPPES record last updated Nov 2, 2013
Key facts
- NPI
- 1174952964
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Contractor 171W00000X
- License
- MA 00007473 (WA)
- Legal business name
- BLUE MOON MASSAGE STUDIO, LLC
- Practice address
- 7700 Pioneer Way
Suite 101
Gig Harbor, WA 98335-1156 - Phone
- (253) 509-0258
- NPI assigned
- Nov 2, 2013
- Organization subpart
- No
Authorized official
- Name
- Connie Rye, LMP
- Title
- Owner
- Phone
- (253) 509-0258
Practitioners 11
-
Elton Ray Busby, LMP
-
Karen Sue Glaittli, LMT CA
-
Anna M Jewell, L.M.P.
-
Rebekah Ann Sweet, LMT
National Provider Directory
Locations
7700 Pioneer Way
Ste 101
Gig Harbor, WA 98335
Phone (253) 509-0258
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor |
171W00000X | MA 00007473 | WA | Yes |
Addresses
Primary practice location
7700 Pioneer Way
Suite 101
Gig Harbor, WA 98335-1156
Mailing address
7700 Pioneer Way
Suite 101
Gig Harbor, WA 98335-1156
Phone (253) 509-0258
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.