Ciely Ti Gray
Massage Therapist
440 Spring Street
Friday Harbor
, Washington 98250
Ciely Ti Gray
Massage Therapist
440 Spring Street
Friday Harbor
, Washington 98250
(360) 378-3637
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Ciely Ti Gray
- Po Box 332
- Friday Harbor, WA
- Zip : 98250-0332
- Fax : (360) 378-3637
- Phone : (360) 378-3637
Second Address
- Ciely Ti Gray
- 440 Spring Street
- Friday Harbor, WA
- Zip : 98250
- Fax : (360) 378-3637
- Phone : (360) 378-3637
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 00016529 | WA |
National Provider Identifier
| NPI | 1003124009 |
|---|---|
| Provider Name | Ciely Ti Gray |
| First Address | Friday Harbor, WA 98250-0332 |
| Second Address | Friday Harbor, WA 98250 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/09/2010 |
| Last Update Date | 24/09/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.