is a Specialist in Snoqualmie, Washington. practices all healthcare services and medical treatments related to Specialist. The NPI Number for is 1992756555. The last update date is .
's current location address is 7723 Center Blvd Se, Snoqualmie, Washington. You can contact this provider via phone number 4253967778 and fax number 4253967097. The mailing address for is 7723 Center Blvd Se, Snoqualmie, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 7723 Center Blvd Se, Snoqualmie, Washington |
| Phone Number | 4253967778 |
| Fax Number | 4253967097 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1992756555 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 7723 Center Blvd Se |
|---|---|
| City | Snoqualmie |
| State | Washington (WA) |
| Post Code | 980658930 |
| Phone Number | 4253967778 |
| Fax Number | 4253967097 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA00007564 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MA00007564 | WA | MASSAGE THERAPIST |
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