Provider Demographics
NPI:1417356841
Name:STILL POINT MASSAGE AND WELLNESS STUDIO, LLC
Entity type:Organization
Organization Name:STILL POINT MASSAGE AND WELLNESS STUDIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TRIPLETT
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:360-433-9480
Mailing Address - Street 1:717 NE 61ST ST
Mailing Address - Street 2:STE. 102
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-8753
Mailing Address - Country:US
Mailing Address - Phone:360-909-9091
Mailing Address - Fax:
Practice Address - Street 1:14313 NE 20TH AVE STE A114
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-1485
Practice Address - Country:US
Practice Address - Phone:360-433-9480
Practice Address - Fax:360-314-4268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-21
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 00014711225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty