Most Relevant Information
Provider Data
| NPI Number: | 1003020850 |
| Provider Name: | JOELLE MARIE BENOIT BREKHUS LMP |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA00019749 |
Most Important Dates
| Enumeration Date: | 05/10/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1519 BASIN ST SW
EPHRATA
WA
988232135
Practice Location Phone/Fax
| Phone: | 5097542461 |
| Fax: | 5097542462 |
Provider Mailing Location
519 1ST AVE SW
EPHRATA
WA
988231804
Provider Mailing Phone/Fax
| Phone: | 5097546387 |
| Fax: |