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Organization
MONROE THERAPEUTIC MASSAGE PS
Active
Organization
MONROE THERAPEUTIC MASSAGE PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLYN DESMOND LMP (PRESIDENT)
(425) 802-1382
Entity
Organization
Contact information
Practice address
751 NE BLAKELY DR, ISSAQUAH, WA 98029-6201
(425) 455-0088
(425) 455-0340
Mailing address
101 E MAIN ST, STE 201, MONROE, WA 98272-1519
(360) 863-0642
(360) 794-7236
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/15/2011
Last updated
03/13/2013
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