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Organization
MARTY MATHISON LMP
Active
Organization
MARTY MATHISON LMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTY EUGENE MATHISON LMP (PRESIDENT)
(509) 830-6515
Entity
Organization
Contact information
Practice address
711 LINCOLN AVE, SUNNYSIDE, WA 98944
(509) 830-6515
(509) 837-3876
Mailing address
1201 NW CRESCENT RD, SUNNYSIDE, WA 98944
(509) 830-6515
(509) 837-3876
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00006441
WA
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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