Provider Demographics
NPI:1548662000
Name:TOUCH THEORY
Entity type:Organization
Organization Name:TOUCH THEORY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, LMP
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LARSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:509-999-3733
Mailing Address - Street 1:PO BOX 519
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99016-0519
Mailing Address - Country:US
Mailing Address - Phone:509-999-3733
Mailing Address - Fax:
Practice Address - Street 1:613 S WASHINGTON ST
Practice Address - Street 2:STE 203
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2535
Practice Address - Country:US
Practice Address - Phone:509-999-3733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60418228225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty