Provider Demographics
NPI:1548152853
Name:JUST, INDIA (LMT)
Entity type:Individual
Prefix:
First Name:INDIA
Middle Name:
Last Name:JUST
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:INDIA
Other - Middle Name:
Other - Last Name:VOGEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:7207 W 6TH PL
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-9589
Mailing Address - Country:US
Mailing Address - Phone:509-802-3377
Mailing Address - Fax:
Practice Address - Street 1:3221 W KENNEWICK AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-2919
Practice Address - Country:US
Practice Address - Phone:509-940-1888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61569507225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist