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Owen Wise, MBA
Massage Therapist in Lacey, Washington
NPI 1710432620

Owen Wise is a Massage Therapist based in Lacey, WA. Owen Wise practices in Lacey, WA and has the professional credentials of MBA. The NPI Number for Owen Wise is 1710432620 and holds a License No. MA60604556 (Washington).

The current practice location address for Owen Wise is 8730 Tallon Ln Ne Ste 104, Lacey, WA and can be reached out via phone at 360-489-0223 and via fax at 800-689-1254.

Location: 8730 Tallon Ln Ne Ste 104, Lacey, WA, 98516-6609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710432620
Provider Name
Owen Wise
Credential
MBA
Provider Entity Type
Individual
Gender
Male
Address
8730 Tallon Ln Ne Ste 104, Lacey, WA, 98516-6609
Phone Number
360-489-0223
Fax Number
800-689-1254
Provider Enumeration Date
08/20/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA60604556 01 WA WA DOH
institution
Provider Business Practice Location Address Details
Address
8730 Tallon Ln Ne Ste 104
City
Lacey
State
Washington
Zip
98516-6609
Phone Number
360-489-0223
Fax Number
800-689-1254
person
Provider Business Mailing Address Details
Address
8730 Tallon Ln Ne Ste 104
City
Lacey
State
Washington
Zip
98516-6609
Phone Number
360-489-0223
Fax Number
800-689-1254
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60604556 (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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