Provider Demographics
NPI:1528753985
Name:FUNCTION & FLOW MASSAGE PLLC
Entity type:Organization
Organization Name:FUNCTION & FLOW MASSAGE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:MELNYK
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:253-364-8288
Mailing Address - Street 1:101 S MERIDIAN STE 205
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-5900
Mailing Address - Country:US
Mailing Address - Phone:253-364-8288
Mailing Address - Fax:
Practice Address - Street 1:101 S MERIDIAN STE 205
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-5900
Practice Address - Country:US
Practice Address - Phone:253-364-8288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty