Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grey Luna Jack Riverstone

Individual provider Massage Therapist · NPI 1235980210

Grey Luna Jack Riverstone is a Massage Therapist in Redmond, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024

Practice location Address checks out

16398 NE 85th St Ste 100
Redmond, WA 98052-3555
Phone: (425) 636-1569
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA00023063 (WA)

Record details

NPI number1235980210
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2024
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024

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