Basic Information
| Provider Information | |||||||||
| NPI: | 1760636153 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | EDWARDS, FAWSON, AND CO. INC/ THERAPEUTIC TOUCH, MASSAGE & WELLNESS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1601 N WENATCHEE AVE | ||||||||
| Address2: | |||||||||
| City: | WENATCHEE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 988011158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5096672720 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1601 N WENATCHEE AVE | ||||||||
| Address2: | |||||||||
| City: | WENATCHEE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 988011158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5096672720 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/11/2008 | ||||||||
| LastUpdateDate: | 11/11/2008 | ||||||||
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| AuthorizedOfficialLastName: | HOLLAND | ||||||||
| AuthorizedOfficialFirstName: | LORETTA | ||||||||
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| AuthorizedOfficialTitleorPosition: | SECRETARY | ||||||||
| AuthorizedOfficialTelephone: | 5096672720 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | MA#00024959 | WA | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.