OrganizationActive
Under the Influence of Massage
NPI 1134492986 · Preferred Provider Organization · Vancouver, WA
Provider details
- NPI number
- 1134492986
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Parent organization
- Under the Influence of Massage
- Authorized official
- Alicia Jacoby, Owner
- License
- MA00016071 (WA)
Mailing address
1612 Ne 78th St
Vancouver, WA 98665-9635
Registry dates
- Enumerated
- 2012-02-09
- Last updated
- 2012-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.