SearchWashington225700000X

Owen Wise, MBA

NPI 1710432620 · on the registry since 2016

Practice

Address
8730 Tallon Ln Ne Ste 104
Lacey, WA 98516
Phone
(360) 489-0223
Fax
(800) 689-1254
Organisation at this address
New Leaf Massage, Llc
Dr. Crystal Martin, Llc
Reflections Therapy, Pllc
New Leaf Hyperbarics Olympia
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington