Avalon Massage and Day Spa LTD Limited

Organization Active NPI Mechanotherapist · Sequim, WA

NPI 1396916375 · NPPES record last updated Mar 18, 2008

Key facts

NPI
1396916375
Entity type
Organization (NPI type 2)
Primary specialty
Mechanotherapist 172M00000X
License
MA00017716 (WA)
Legal business name
AVALON MASSAGE AND DAY SPA LTD LIMITED
Practice address
660 W Evergreen Farm Way
Sequim, WA 98382-5097
Phone
(360) 582-9977
Fax
(360) 582-9972
NPI assigned
Mar 18, 2008
Organization subpart
Yes
Parent organization (as reported)
AVALON MASSAGE AND DAY SPA LTD LIMITED

Authorized official

Name
Mrs. Mindy Wiegel, LMP
Title
Owner
Phone
(360) 582-9977

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Avalon Massage and Day Spa LTD Limited (3 organizations share this tax ID)
Part of
Avalon Massage and Day Spa LTD Limited

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
172M00000X MA00017716 WA Yes

Addresses

Primary practice location

660 W Evergreen Farm Way
Sequim, WA 98382-5097

Mailing address

660 W Evergreen Farm Way
Sequim, WA 98382-5097
Phone (360) 582-9977

Other providers in Sequim, WA

All providers in Sequim, WA · Mechanotherapist in Washington

Sources for this page

Verify at the official NPI Registry.