Provider Demographics
NPI:1902176589
Name:NATURAL BODY WORKS
Entity Type:Organization
Organization Name:NATURAL BODY WORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST, OWNER, OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARNO
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:360-513-7531
Mailing Address - Street 1:106 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-3269
Mailing Address - Country:US
Mailing Address - Phone:360-513-7531
Mailing Address - Fax:360-694-9726
Practice Address - Street 1:106 E 9TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3269
Practice Address - Country:US
Practice Address - Phone:360-513-7531
Practice Address - Fax:360-694-9726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00021648174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty