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Individual
SARA KORTAN
Active
Individual
SARA KORTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00015689
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00015689
LMP NUMBER
WA
01
—
0152532
L&I PROVIDER NUMBER
WA
01
—
125723
AMTA
WA
01
—
303208-00
NCBTMB
WA
Enumeration date
01/26/2007
Last updated
07/08/2007
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