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Jasmine Phoenix, LMP
Massage Therapist in Clear Lake, Washington
NPI 1265642847

Jasmine Phoenix is a Massage Therapist based in Olympia, WA. Jasmine Phoenix practices in Clear Lake, WA and has the professional credentials of LMP. The NPI Number for Jasmine Phoenix is 1265642847 and holds a License No. MA00000839 (Washington).

The current practice location address for Jasmine Phoenix is 12263 North Mill Street, Clear Lake, WA and can be reached out via phone at 360-856-5354.

Location: 12263 North Mill Street, Clear Lake, WA, 98507-0257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265642847
Provider Name
Jasmine Phoenix
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
12263 North Mill Street, Clear Lake, WA, 98507-0257
Phone Number
360-856-5354
Fax Number
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0158184 01 WA LABOR AND INDUSTRIES
institution
Provider Business Practice Location Address Details
Address
12263 North Mill Street
City
Clear Lake
State
Washington
Zip
98235
Phone Number
360-856-5354
Fax Number
person
Provider Business Mailing Address Details
Address
12263 North Mill Street
City
Clear Lake
State
Washington
Zip
98235
Phone Number
360-856-5354
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00000839 (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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