Breathe Body Spa, Llc

LBN: Breathe Body Spa, Llc
Breathe Body Spa, Llc is an health care organization with primary practice located at 205 Ne Ford St , Mcminnville OR 97128-4632. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as the primary health care specialty. Breathe Body Spa, Llc can be contacted via phone (971) 267-5227, or through Van Dyke, Kelly Ryan via phone (971) 267-5227.

Contact Information

Primary practice address
205 Ne Ford St Mcminnville OR 97128-4632
Phone: (971) 267-5227
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Van Dyke, Kelly Ryan LMT
Phone: (971) 267-5227

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 22338 Oregon

Profile Details

NPI number 1588112676
LBN Legal business name Breathe Body Spa, Llc
DBA Doing business as
Authorized official Van Dyke, Kelly Ryan LMT
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2016
Last updated Sep 16th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588112676 NPPES
Oregon Other 22338 LICENSED MASSAGE THERAPIST

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