| Moon Lodge | |
|
4562 Klahanie Dr Se, Issaquah, WA 98029-5812 | |
| (425) 392-4700 | |
| (425) 392-3118 |
| Full Name | Moon Lodge |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 4562 Klahanie Dr Se, Issaquah, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841413366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Moon Lodge Po Box 6, Issaquah, WA 98027-0001 Ph: (425) 392-4700 | Moon Lodge 4562 Klahanie Dr Se, Issaquah, WA 98029-5812 Ph: (425) 392-4700 |
Nicole Arlene Lopez, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 5th Ave Nw Ste 300, Issaquah, WA 98027 Phone: 425-998-6542 | |
Ms. Pamela Dove Miller, PAMELA MILLER,LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 660 Nw Gilman Blvd, Issaquah, WA 98027 Phone: 425-391-2380 Fax: 425-391-2381 | |
Mrs. Selena Beth Hawks Hayes, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 19230 Se 48th Pl, Issaquah, WA 98027 Phone: 206-841-7292 | |
Maureen Lafever, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 175 1st Pl Nw, Issaquah, WA 98027 Phone: 425-526-7500 Fax: 425-526-5545 | |
Amanda E Tapp, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1740 Nw Maple St, 111, Issaquah, WA 98027 Phone: 425-394-1200 Fax: 425-394-0100 | |
Mr. Matthew Usher, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 670 Nw Gilman Blvd, Ste B2, Issaquah, WA 98027 Phone: 425-427-6562 | |
Catherine Springman, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 72 E Sunset Way, Issaquah, WA 98027 Phone: 425-313-9222 |