| Changing Tides Llc | |
|
21222 Viking Ave Nw, Poulsbo, WA 98370 | |
| (360) 731-9717 | |
| Not Available |
| Full Name | Changing Tides Llc |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 21222 Viking Ave Nw, Poulsbo, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902096712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA00002068 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Tides Llc 13250 Phelps Road Ne, Bainbridge Island, WA 98110-4141 Ph: (360) 731-9717 | Changing Tides Llc 21222 Viking Ave Nw, Poulsbo, WA 98370 Ph: (360) 731-9717 |
Eric R Thanem, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 19611 7th Ave Ne, Poulsbo, WA 98370 Phone: 360-779-3285 | |
Samantha Jenkins, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 18820 Front St, 220, Poulsbo, WA 98370 Phone: 360-697-3767 Fax: 360-697-5927 | |
Jennifer Anne Miller, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 18657 State Highway 305 Ne Ste 4, Poulsbo, WA 98370 Phone: 360-779-7800 Fax: 360-779-7060 | |
Raymond Graber, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 19041 Front St Ne, Poulsbo, WA 98370 Phone: 360-271-2268 | |
Kerry Murray, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 19245 7th Ave Ne, Poulsbo, WA 98370 Phone: 360-782-3500 | |
Ms. Christine Claire Tressel, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 18978 Front St Ne, Poulsbo, WA 98370 Phone: 360-473-7336 | |
Tanya Gunby, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 19319 7th Ave Ne, Poulsbo, WA 98370 Phone: 360-598-3764 |