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Grey Luna Jack Riverstone
Massage Therapist in Redmond, Washington
NPI 1235980210

Grey Luna Jack Riverstone is a Massage Therapist based in Woodinville, WA. Grey Luna Jack Riverstone practices in Redmond, WA. The NPI Number for Grey Luna Jack Riverstone is 1235980210 and holds a License No. MA00023063 (Washington).

The current practice location address for Grey Luna Jack Riverstone is 16398 Ne 85Th St Ste 100, Redmond, WA and can be reached out via phone at 425-636-1569.

Location: 16398 Ne 85Th St Ste 100, Redmond, WA, 98077-7748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235980210
Provider Name
Grey Luna Jack Riverstone
Credential
Provider Entity Type
Individual
Gender
Female
Address
16398 Ne 85Th St Ste 100, Redmond, WA, 98077-7748
Phone Number
425-636-1569
Fax Number
Provider Enumeration Date
03/28/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
16398 Ne 85Th St Ste 100
City
Redmond
State
Washington
Zip
98052-3555
Phone Number
425-636-1569
Fax Number
person
Provider Business Mailing Address Details
Address
16398 Ne 85Th St Ste 100
City
Redmond
State
Washington
Zip
98052-3555
Phone Number
425-636-1569
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00023063 (Washington)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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