Provider Demographics
NPI:1356220321
Name:LOCAL MASSAGE COMPANY PLLC
Entity type:Organization
Organization Name:LOCAL MASSAGE COMPANY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:ALEX
Authorized Official - Last Name:TROUTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:360-388-6832
Mailing Address - Street 1:336 NE WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-2652
Mailing Address - Country:US
Mailing Address - Phone:360-388-6832
Mailing Address - Fax:
Practice Address - Street 1:312 N PEARL ST
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-4324
Practice Address - Country:US
Practice Address - Phone:360-388-6832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty